| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $504.27 | $504.27 | $630.34 | |
Oscar Health
| Professional | $649.62 | $658.39 | $877.86 | |
Priority Health
| Professional | $504.27 | $504.27 | $630.34 | |
UPMC Health Plan
| Facility | $438.93 | $438.93 | $709.78 | |
UPMC Health Plan
| Professional | $438.93 | $438.93 | $709.78 |