| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $6,165.95 | $9,332.54 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $1,023.29 | $4,786.30 | $9,332.54 | |
UPMC Health Plan
| Facility | $1,819.70 | $1,819.70 | $1,949.84 | |
United
| Facility | $660.69 | $2,570.40 | $6,760.83 |