| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.00 | $4,264.00 | $9,534.00 | |
Capital Blue Cross
| Facility | $8,850.00 | $16,455.00 | $36,032.05 | |
Martin's Point
| Facility | $1,020.00 | $5,342.00 | $9,590.00 | |
UPMC Health Plan
| Facility | $92.05 | $92.05 | $102.55 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |