| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $2,691.53 | $8,317.64 | |
Capital Blue Cross
| Facility | $6,456.54 | $7,585.78 | $57,543.99 | |
Martin's Point
| Facility | $691.83 | $2,344.23 | $8,317.64 | |
Oscar Health
| Facility | $954.99 | $954.99 | $1,288.25 | |
UPMC Health Plan
| Facility | $630.96 | $691.83 | $691.83 | |
United
| Facility | $2,454.71 | $5,495.41 | $16,595.87 |