| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.00 | $3,745.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $768.00 | $3,964.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $269.60 | $300.39 | $386.58 | |
United
| Facility | $1,440.00 | $3,475.00 | $6,000.00 |