| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $536.00 | $1,926.00 | $7,175.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Cigna
| Facility | $381.02 | $381.02 | $381.02 | |
Cigna
| Facility | AS | $37.39 | $37.39 | $37.39 |
Martin's Point
| Facility | $594.00 | $2,070.00 | $7,799.00 | |
Priority Health
| Facility | $381.02 | $381.02 | $381.02 | |
Priority Health
| Facility | AS | $37.39 | $37.39 | $37.39 |
UPMC Health Plan
| Facility | $326.72 | $326.72 | $384.18 | |
United
| Facility | $162.00 | $650.00 | $3,742.00 |