| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.00 | $3,745.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Martin's Point
| Facility | $954.00 | $3,839.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $339.77 | $339.77 | $367.43 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |