| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,127.16 | $1,182.96 | $1,417.32 | |
Priority Health
| Professional | $1,127.16 | $1,182.96 | $1,417.32 | |
UPMC Health Plan
| Facility | $59.95 | $1,023.11 | $1,023.11 | |
UPMC Health Plan
| Professional | $59.95 | $1,023.11 | $1,126.27 |