| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $954.99 | $1,412.54 | |
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Cigna
| Facility | $295.12 | $295.12 | $346.74 | |
Martin's Point
| Facility | $363.08 | $851.14 | $1,380.38 | |
UPMC Health Plan
| Facility | $269.15 | $269.15 | $407.38 |