| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $847.00 | $2,747.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $2,299.82 | $2,746.00 | $13,822.74 | |
Martin's Point
| Facility | $918.00 | $3,077.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $145.04 | $492.39 | $1,024.61 | |
United
| Facility | $814.00 | $2,113.00 | $3,742.00 |