| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $5,254.00 | $10,398.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Martin's Point
| Facility | $1,301.00 | $5,742.00 | $11,083.00 | |
UPMC Health Plan
| Facility | $456.00 | $593.21 | $593.21 | |
United
| Facility | $1,899.00 | $4,563.00 | $8,261.00 |