| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.00 | $2,371.00 | $7,799.00 | |
Capital Blue Cross
| Facility | $2,344.69 | $3,159.00 | $14,886.03 | |
Martin's Point
| Facility | $641.00 | $2,371.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $305.27 | $486.49 | $486.49 | |
United
| Facility | $1,175.00 | $2,824.00 | $4,789.00 |