| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $640.92 | $2,747.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $832.00 | $2,679.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $346.03 | $386.16 | $386.16 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |