| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $5,754.40 | $8,511.38 | |
Capital Blue Cross
| Facility | $9,549.93 | $10,000.00 | $57,543.99 | |
Martin's Point
| Facility | $831.76 | $4,265.80 | $8,317.64 | |
UPMC Health Plan
| Facility | $467.74 | $467.74 | $660.69 | |
United
| Facility | $2,454.71 | $5,495.41 | $16,982.44 |