| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $5,370.32 | $8,511.38 | |
Capital Blue Cross
| Facility | $2,630.27 | $2,691.53 | $57,543.99 | |
Martin's Point
| Facility | $1,023.29 | $4,570.88 | $8,511.38 | |
Oscar Health
| Facility | $616.60 | $616.60 | $1,023.29 | |
UPMC Health Plan
| Facility | $467.74 | $489.78 | $575.44 | |
United
| Facility | $467.74 | $2,238.72 | $6,456.54 |