| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $3,890.45 | $8,511.38 | |
Capital Blue Cross
| Facility | $3,801.89 | $4,466.84 | $57,543.99 | |
Cigna
| Facility | $489.78 | $831.76 | $2,454.71 | |
Emblem Health
| Facility | $758.58 | $758.58 | $758.58 | |
Martin's Point
| Facility | $912.01 | $2,754.23 | $8,317.64 | |
Oscar Health
| Facility | $616.60 | $616.60 | $758.58 | |
UPMC Health Plan
| Facility | $309.03 | $371.54 | $758.58 | |
United
| Facility | $549.54 | $2,398.83 | $6,025.60 |