| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,241.99 | $4,761.00 | $8,451.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Martin's Point
| Facility | $1,151.00 | $5,350.00 | $9,617.00 | |
UPMC Health Plan
| Facility | $1,279.56 | $1,279.56 | $1,534.45 | |
United
| Facility | $656.00 | $2,391.00 | $6,228.00 |