| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $6,165.95 | $9,332.54 | |
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Martin's Point
| Facility | $758.58 | $4,786.30 | $9,332.54 | |
UPMC Health Plan
| Facility | $4.79 | $19.50 | $23.99 | |
United
| Facility | $144.54 | $676.08 | $4,265.80 |