| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $3,839.00 | $8,427.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,427.00 | |
UPMC Health Plan
| Facility | $742.07 | $938.37 | $938.37 | |
United
| Facility | $1,175.00 | $2,824.00 | $4,815.00 |