| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $4,264.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $793.92 | $793.92 | $933.13 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |