| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $844.35 | $4,805.16 | $9,584.57 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Martin's Point
| Facility | $1,020.00 | $5,079.00 | $9,830.00 | |
UPMC Health Plan
| Facility | $821.13 | $821.13 | $876.10 | |
United
| Facility | $625.00 | $2,391.00 | $6,322.00 |