| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $2,691.53 | $8,317.64 | |
Capital Blue Cross
| Facility | $2,344.23 | $2,570.40 | $57,543.99 | |
Martin's Point
| Facility | $616.60 | $2,344.23 | $8,317.64 | |
Oscar Health
| Facility | $173.78 | $173.78 | $173.78 | |
UPMC Health Plan
| Facility | $58.88 | $64.57 | $85.11 | |
United
| Facility | $501.19 | $1,584.89 | $3,890.45 |