| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.69 | $2,070.00 | $7,629.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $594.00 | $2,266.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $107.53 | $108.83 | $208.73 | |
United
| Facility | $162.00 | $557.00 | $3,742.00 |