| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,062.32 | $3,099.71 | $7,208.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Martin's Point
| Facility | $883.74 | $4,522.47 | $9,960.60 | |
UPMC Health Plan
| Facility | $2,346.67 | $2,346.67 | $2,707.34 | |
United
| Facility | $625.00 | $2,391.00 | $6,322.00 |