| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $276.31 | $308.64 | $21,879.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Martin's Point
| Facility | $308.64 | $21,879.00 | $23,354.00 | |
UPMC Health Plan
| Facility | $287.89 | $295.29 | $295.29 | |
United
| Facility | $912.00 | $2,391.00 | $4,789.00 |