| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $4,534.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,404.00 | |
UPMC Health Plan
| Facility | $156.19 | $156.19 | $248.68 | |
United
| Facility | $2,304.00 | $4,584.00 | $9,631.00 |