| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,207.29 | $4,989.00 | $9,534.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $1,298.00 | $5,342.00 | $9,830.00 | |
UPMC Health Plan
| Facility | $983.21 | $983.21 | $1,048.68 | |
United
| Facility | $3,029.00 | $7,000.00 | $17,398.83 |