| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $934.00 | $2,679.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $954.00 | $3,077.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $820.60 | $820.60 | $1,006.60 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,368.00 |