| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $976.00 | $3,830.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $26,582.19 | |
Martin's Point
| Facility | $1,020.00 | $4,597.00 | $8,404.00 | |
UPMC Health Plan
| Facility | $742.15 | $742.15 | $828.59 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,368.00 |