| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $4,786.30 | $8,317.64 | |
Capital Blue Cross
| Facility | $5,011.87 | $5,248.07 | $57,543.99 | |
Martin's Point
| Facility | $954.99 | $3,801.89 | $8,317.64 | |
UPMC Health Plan
| Facility | $478.63 | $478.63 | $851.14 | |
United
| Facility | $1,348.96 | $3,548.13 | $8,912.51 |