| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,499.00 | $5,254.00 | $10,398.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Martin's Point
| Facility | $1,426.00 | $5,511.00 | $11,083.00 | |
UPMC Health Plan
| Facility | $1,538.13 | $1,643.12 | $1,643.12 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |