| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.00 | $2,240.00 | $7,629.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Cigna
| Facility | $263.30 | $526.00 | $2,269.00 | |
Emblem Health
| Facility | $333.84 | $333.84 | $333.84 | |
Martin's Point
| Facility | $657.00 | $2,371.00 | $7,799.00 | |
Priority Health
| Facility | $263.30 | $526.00 | $2,269.00 | |
UPMC Health Plan
| Facility | $150.99 | $237.06 | $855.81 | |
United
| Facility | $80.00 | $541.00 | $3,742.00 |