| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.71 | $3,745.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $954.00 | $3,839.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $869.43 | $869.43 | $1,084.27 | |
United
| Facility | $1,175.00 | $2,715.00 | $4,789.00 |