| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $5,252.00 | $10,398.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $3,820.32 | $3,820.32 | $3,820.32 | |
Martin's Point
| Facility | $1,301.00 | $5,511.00 | $11,083.00 | |
UPMC Health Plan
| Facility | $788.96 | $788.96 | $912.25 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |