| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $2,691.53 | $8,317.64 | |
Capital Blue Cross
| Facility | $1,174.90 | $1,258.93 | $57,543.99 | |
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
Martin's Point
| Facility | $660.69 | $2,344.23 | $8,317.64 | |
Oscar Health
| Facility | $645.65 | $645.65 | $831.76 | |
UPMC Health Plan
| Facility | $309.03 | $331.13 | $331.13 | |
United
| Facility | $223.87 | $676.08 | $3,890.45 |