| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $905.01 | $4,534.00 | $8,427.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Martin's Point
| Facility | $1,013.00 | $4,831.00 | $8,427.00 | |
UPMC Health Plan
| Facility | $741.01 | $741.01 | $879.32 | |
United
| Facility | $1,447.00 | $3,311.00 | $6,000.00 |