| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $490.00 | $1,741.00 | $7,175.00 | |
Capital Blue Cross
| Facility | $2,344.69 | $3,159.00 | $14,886.03 | |
Cigna
| Facility | $186.13 | $186.13 | $186.13 | |
Martin's Point
| Facility | $641.00 | $2,266.00 | $8,017.00 | |
Priority Health
| Facility | $186.13 | $186.13 | $186.13 | |
UPMC Health Plan
| Facility | $108.51 | $120.11 | $245.10 | |
United
| Facility | $471.00 | $1,305.00 | $3,742.00 |