| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $6,165.95 | $9,549.93 | |
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Martin's Point
| Facility | $1,122.02 | $5,370.32 | $9,549.93 | |
Oscar Health
| Facility | $1,000.00 | $1,000.00 | $2,630.27 | |
UPMC Health Plan
| Facility | $1,288.25 | $1,288.25 | $1,548.82 | |
United
| Facility | $812.83 | $2,089.30 | $6,309.57 |