| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $5,370.32 | $8,511.38 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $831.76 | $4,265.80 | $8,317.64 | |
Oscar Health
| Facility | $1,380.38 | $1,380.38 | $1,905.46 | |
UPMC Health Plan
| Facility | $933.25 | $933.25 | $1,148.15 | |
United
| Facility | $3,311.31 | $7,244.36 | $11,220.18 |