| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $5,370.32 | $8,511.38 | |
Capital Blue Cross
| Facility | $9,549.93 | $10,000.00 | $57,543.99 | |
Martin's Point
| Facility | $1,023.29 | $4,570.88 | $8,511.38 | |
Oscar Health
| Facility | $1,000.00 | $1,000.00 | $1,698.24 | |
UPMC Health Plan
| Facility | $588.84 | $588.84 | $933.25 | |
United
| Facility | $1,348.96 | $3,548.13 | $10,232.93 |