| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $6,165.95 | $9,549.93 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $1,047.13 | $5,248.07 | $9,549.93 | |
Oscar Health
| Facility | $575.44 | $575.44 | $1,819.70 | |
UPMC Health Plan
| Facility | $588.84 | $691.83 | $891.25 | |
United
| Facility | $1,174.90 | $1,995.26 | $5,011.87 |