| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,623.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $3,736.00 | $4,444.00 | $15,949.31 | |
Martin's Point
| Facility | $768.00 | $3,839.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $182.38 | $225.94 | $1,705.13 | |
United
| Facility | $2,222.00 | $3,475.00 | $6,000.00 |