| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $474.24 | $2,679.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $2,450.00 | $5,951.00 | $8,887.00 | |
Martin's Point
| Facility | $760.00 | $2,679.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $174.83 | $370.79 | $570.73 | |
United
| Facility | $814.00 | $2,391.00 | $4,789.00 |