| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $4,786.30 | $8,317.64 | |
Capital Blue Cross
| Facility | $3,801.89 | $4,466.84 | $57,543.99 | |
Martin's Point
| Facility | $1,023.29 | $3,801.89 | $8,317.64 | |
UPMC Health Plan
| Facility | $467.74 | $467.74 | $1,202.26 | |
United
| Facility | $912.01 | $2,754.23 | $6,606.93 |