| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $35.48 | $95.50 | |
Ambetter
| Professional | $18.20 | $29.51 | $46.77 | |
Capital Blue Cross
| Professional | $16.98 | $19.95 | $41.69 | |
Cigna
| Professional | $20.42 | $35.48 | $57.54 | |
Emblem Health
| Professional | $38.02 | $50.12 | $66.07 | |
Geisinger
| Professional | $30.90 | $40.74 | $67.61 | |
Highmark BCBS
| Professional | $46.77 | $46.77 | $47.86 | |
Martin's Point
| Professional | $21.38 | $37.15 | $87.10 | |
Oscar Health
| Professional | $42.66 | $53.70 | $63.10 | |
UPMC Health Plan
| Professional | $13.80 | $20.89 | $67.61 | |
United
| Professional | $22.39 | $31.62 | $52.48 |