| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.00 | $2,747.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $934.00 | $3,389.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $376.43 | $391.62 | $391.62 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |