| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.52 | $3,839.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Martin's Point
| Facility | $832.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $272.13 | $272.13 | $307.39 | |
United
| Facility | $162.00 | $557.00 | $3,742.00 |