| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $5,754.40 | $8,511.38 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $912.01 | $4,265.80 | $8,317.64 | |
Oscar Health
| Facility | $1,202.26 | $1,202.26 | $1,698.24 | |
UPMC Health Plan
| Facility | $831.76 | $831.76 | $977.24 | |
United
| Facility | $2,137.96 | $3,630.78 | $6,025.60 |