| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $671.95 | $671.95 | $839.94 | |
Oscar Health
| Professional | $865.65 | $877.35 | $1,169.80 | |
Priority Health
| Professional | $671.95 | $671.95 | $839.94 | |
UPMC Health Plan
| Facility | $584.90 | $584.90 | $875.55 | |
UPMC Health Plan
| Professional | $584.90 | $584.90 | $875.55 | |
United
| Facility | $233.96 | $292.45 | $401.38 |