| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.00 | $4,894.00 | $9,534.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $812.76 | $812.76 | $812.76 | |
Martin's Point
| Facility | $1,054.00 | $5,424.00 | $10,247.00 | |
UPMC Health Plan
| Facility | $158.13 | $171.68 | $171.68 | |
United
| Facility | $814.00 | $2,391.00 | $4,789.00 |