| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $647.28 | $3,839.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $657.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $451.21 | $501.92 | $501.92 | |
United
| Facility | $435.00 | $1,305.00 | $3,742.00 |