| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.95 | $860.95 | $7,722.94 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Martin's Point
| Facility | $860.95 | $2,869.11 | $7,722.94 | |
UPMC Health Plan
| Facility | $890.11 | $890.11 | $1,422.00 | |
United
| Facility | $625.00 | $2,391.00 | $6,322.00 |