| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $442.44 | $2,070.00 | $7,629.00 | |
Capital Blue Cross
| Facility | $2,344.69 | $3,159.00 | $14,886.03 | |
Martin's Point
| Facility | $617.00 | $2,326.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $328.99 | $389.73 | $952.90 | |
United
| Facility | $814.00 | $2,391.00 | $4,789.00 |