| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $239.88 | $676.08 | |
Capital Blue Cross
| Professional | $229.09 | $467.74 | $676.08 | |
Cigna
| Professional | $186.21 | $269.15 | $436.52 | |
Emblem Health
| Professional | $323.59 | $416.87 | $457.09 | |
Geisinger
| Professional | $223.87 | $323.59 | $478.63 | |
Highmark BCBS
| Professional | $275.42 | $275.42 | $275.42 | |
Martin's Point
| Professional | $177.83 | $263.03 | $758.58 | |
Oscar Health
| Professional | $275.42 | $275.42 | $275.42 | |
UPMC Health Plan
| Professional | $75.86 | $204.17 | $309.03 | |
United
| Professional | $177.83 | $257.04 | $446.68 |