| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.00 | $2,371.00 | $7,629.00 | |
Capital Blue Cross
| Facility | $1,083.51 | $1,395.00 | $12,759.45 | |
Cigna
| Facility | $357.41 | $357.41 | $357.41 | |
Martin's Point
| Facility | $641.00 | $2,326.00 | $8,017.00 | |
Priority Health
| Facility | $357.41 | $357.41 | $357.41 | |
UPMC Health Plan
| Facility | $308.49 | $308.49 | $329.36 | |
United
| Facility | $162.00 | $650.00 | $3,742.00 |