| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $657.00 | $4,061.90 | $10,915.00 | |
Capital Blue Cross
| Facility | $4,150.00 | $7,463.00 | $11,091.00 | |
Cigna
| Facility | $619.72 | $619.72 | $619.72 | |
Cigna
| Facility | AS | $61.52 | $61.52 | $61.52 |
Highmark BCBS
| Facility | $1,762.98 | $6,673.82 | $14,985.07 | |
Martin's Point
| Facility | $655.00 | $4,264.00 | $10,915.00 | |
Priority Health
| Facility | $619.72 | $619.72 | $619.72 | |
Priority Health
| Facility | AS | $61.52 | $61.52 | $61.52 |
UPMC Health Plan
| Facility | $531.02 | $531.02 | $728.81 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,368.00 |