| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $2,691.53 | $8,317.64 | |
Capital Blue Cross
| Facility | $2,630.27 | $2,691.53 | $57,543.99 | |
Cigna
| Facility | $186.21 | $186.21 | $186.21 | |
Martin's Point
| Facility | $616.60 | $2,344.23 | $8,317.64 | |
Oscar Health
| Facility | $257.04 | $257.04 | $537.03 | |
UPMC Health Plan
| Facility | $109.65 | $158.49 | $245.47 | |
United
| Facility | $501.19 | $1,862.09 | $3,890.45 |