| 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 | $6,456.54 | $7,585.78 | $57,543.99 | |
Martin's Point
| Facility | $831.76 | $4,265.80 | $8,317.64 | |
UPMC Health Plan
| Facility | $190.55 | $213.80 | $213.80 | |
United
| Facility | $144.54 | $645.65 | $4,265.80 |