| 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 | $13,531.00 | $27,840.00 | $46,480.74 | |
Martin's Point
| Facility | $934.00 | $3,389.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $543.73 | $599.91 | $599.91 | |
United
| Facility | $814.00 | $2,391.00 | $4,789.00 |