| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $656.30 | $2,371.00 | $7,799.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $656.30 | $2,371.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $596.97 | $596.97 | $778.23 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |