| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.02 | $2,463.00 | $7,799.00 | |
Capital Blue Cross
| Facility | $3,736.00 | $4,444.00 | $15,949.31 | |
Martin's Point
| Facility | $594.00 | $2,679.00 | $8,017.00 | |
Priority Health
| Facility | $129.19 | $129.19 | $129.19 | |
UPMC Health Plan
| Facility | $74.54 | $98.20 | $151.60 | |
United
| Facility | $144.00 | $650.00 | $4,300.00 |