| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $3,890.45 | $8,317.64 | |
Capital Blue Cross
| Facility | $5,011.87 | $5,248.07 | $57,543.99 | |
Martin's Point
| Facility | $912.01 | $2,691.53 | $8,317.64 | |
Oscar Health
| Facility | $426.58 | $426.58 | $912.01 | |
UPMC Health Plan
| Facility | $173.78 | $407.38 | $588.84 | |
United
| Facility | $912.01 | $2,754.23 | $6,606.93 |