| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $495.65 | $495.65 | $495.65 | |
Cigna
| Facility | $594.32 | $594.32 | $594.32 | |
Emblem Health
| Facility | $1,135.41 | $1,135.41 | $1,135.41 | |
Oscar Health
| Facility | $316.30 | $316.30 | $316.30 | |
Priority Health
| Facility | $594.32 | $594.32 | $594.32 | |
UPMC Health Plan
| Facility | $507.89 | $507.89 | $507.89 |