| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.58 | $122.58 | $882.58 | |
Capital Blue Cross
| Facility | $3,736.00 | $4,444.00 | $15,949.31 | |
Highmark BCBS
| Facility | $679.72 | $679.72 | $679.72 | |
Martin's Point
| Facility | $122.58 | $364.06 | $1,754.80 | |
UPMC Health Plan
| Facility | $80.73 | $85.55 | $121.64 | |
United
| Facility | $637.00 | $2,391.00 | $6,000.00 |