| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $483.87 | $2,070.00 | $7,629.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Martin's Point
| Facility | $594.00 | $2,326.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $61.61 | $69.88 | $709.71 | |
United
| Facility | $162.00 | $577.00 | $3,742.00 |