| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.11 | $485.65 | $1,217.05 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Cigna
| Facility | $291.99 | $344.55 | $362.75 | |
Martin's Point
| Facility | $311.05 | $591.00 | $1,228.65 | |
Priority Health
| Facility | $291.99 | $344.55 | $362.75 | |
UPMC Health Plan
| Facility | $271.55 | $312.70 | $312.70 |