| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.00 | $2,371.00 | $7,799.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $617.00 | $2,326.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $71.81 | $74.25 | $74.25 | |
United
| Facility | $162.00 | $577.00 | $3,742.00 |