| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $4,264.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $2,344.69 | $3,159.00 | $14,886.03 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $471.38 | $487.61 | $487.61 | |
United
| Facility | $435.00 | $1,305.00 | $3,742.00 |