| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.46 | $2,070.00 | $7,629.00 | |
Capital Blue Cross
| Facility | $2,299.82 | $2,746.00 | $13,822.74 | |
Cigna
| Facility | $2,064.00 | $2,064.00 | $2,064.00 | |
Martin's Point
| Facility | $617.00 | $2,326.00 | $8,017.00 | |
Priority Health
| Facility | $152.33 | $152.33 | $2,064.00 | |
Priority Health
| Facility | AS | $15.23 | $15.23 | $15.23 |
UPMC Health Plan
| Facility | $81.61 | $87.13 | $113.06 | |
United
| Facility | $144.00 | $650.00 | $4,300.00 |