| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.00 | $2,422.00 | $7,799.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Martin's Point
| Facility | $641.00 | $2,371.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $72.31 | $80.45 | $85.48 | |
United
| Facility | $625.00 | $2,391.00 | $6,322.00 |