| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.00 | $2,266.00 | $7,629.00 | |
Capital Blue Cross
| Facility | $2,299.82 | $2,746.00 | $13,822.74 | |
Martin's Point
| Facility | $617.00 | $2,371.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $65.92 | $73.04 | $95.90 | |
United
| Facility | $471.00 | $1,305.00 | $3,742.00 |