| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,410.87 | $4,534.00 | $8,404.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $1,020.00 | $4,761.00 | $8,404.00 | |
Priority Health
| Facility | $1,818.88 | $1,818.88 | $1,818.88 | |
UPMC Health Plan
| Facility | $1,415.07 | $1,579.48 | $1,579.48 | |
United
| Facility | $1,122.00 | $2,884.00 | $6,000.00 |