| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $749.00 | $3,623.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $832.00 | $3,839.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $353.56 | $796.97 | $1,224.58 | |
United
| Facility | $2,304.00 | $4,584.00 | $9,631.00 |