| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $4,786.30 | $8,317.64 | |
Capital Blue Cross
| Facility | $6,456.54 | $7,585.78 | $57,543.99 | |
Martin's Point
| Facility | $954.99 | $3,801.89 | $8,317.64 | |
UPMC Health Plan
| Facility | $89.13 | $117.49 | $134.90 | |
United
| Facility | $501.19 | $2,238.72 | $9,772.37 |