| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.58 | $2,240.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $1,751.04 | $2,594.00 | $5,296.01 | |
Martin's Point
| Facility | $617.00 | $2,326.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $235.28 | $258.73 | $355.48 | |
United
| Facility | $162.00 | $577.00 | $3,742.00 |