| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.64 | $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 | $3,120.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $73.79 | $196.58 | $302.56 | |
United
| Facility | $435.00 | $1,305.00 | $3,742.00 |