| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,068.00 | $3,745.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $2,344.69 | $3,159.00 | $14,886.03 | |
Martin's Point
| Facility | $1,013.00 | $3,839.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $990.53 | $990.53 | $994.10 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |