| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $6,606.93 | $37,153.52 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $1,023.29 | $5,370.32 | $20,892.96 | |
UPMC Health Plan
| Facility | $2,187.76 | $2,344.23 | $2,344.23 | |
United
| Facility | $660.69 | $2,570.40 | $6,760.83 |