| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $5,254.00 | $11,022.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $1,301.00 | $5,526.00 | $11,182.00 | |
UPMC Health Plan
| Facility | $245.63 | $245.63 | $302.33 | |
United
| Facility | $162.00 | $577.00 | $3,742.00 |