| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $5,754.40 | $8,511.38 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $1,023.29 | $4,265.80 | $8,317.64 | |
Oscar Health
| Facility | $1,318.26 | $1,318.26 | $2,344.23 | |
UPMC Health Plan
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
United
| Facility | $2,137.96 | $3,090.30 | $6,025.60 |