| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $989.00 | $4,761.00 | $8,451.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $1,054.00 | $5,342.00 | $9,617.00 | |
UPMC Health Plan
| Facility | $900.49 | $900.49 | $1,025.21 | |
United
| Facility | $1,781.00 | $4,789.00 | $16,362.19 |