| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.00 | $2,747.00 | $8,427.00 | |
Capital Blue Cross
| Facility | $3,736.00 | $4,444.00 | $15,949.31 | |
Martin's Point
| Facility | $918.00 | $3,120.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $177.65 | $270.89 | $419.85 | |
United
| Facility | $435.00 | $1,305.00 | $3,742.00 |