| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.12 | $64.08 | $1,359.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Cigna
| Facility | $36.31 | $62.68 | $706.57 | |
Martin's Point
| Facility | $24.12 | $75.31 | $1,812.00 | |
Priority Health
| Facility | $24.72 | $36.31 | $588.80 | |
UPMC Health Plan
| Facility | $22.44 | $58.50 | $67.97 |