| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $7,244.36 | $12,022.64 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $1,258.93 | $5,754.40 | $11,220.18 | |
Oscar Health
| Facility | $2,511.89 | $2,511.89 | $2,691.53 | |
UPMC Health Plan
| Facility | $1,318.26 | $1,318.26 | $2,041.74 | |
United
| Facility | $660.69 | $2,570.40 | $6,760.83 |