| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.00 | $3,748.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $954.00 | $3,964.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $222.53 | $222.53 | $232.45 | |
United
| Facility | $497.00 | $1,305.00 | $3,742.00 |