| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $926.36 | $4,304.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,404.00 | |
Priority Health
| Facility | $1,141.25 | $1,141.25 | $1,141.25 | |
UPMC Health Plan
| Facility | $989.29 | $989.29 | $1,104.33 | |
United
| Facility | $1,440.00 | $3,475.00 | $6,368.00 |