| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.56 | $200.00 | $783.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Cigna
| Facility | $12.86 | $527.48 | $1,241.86 | |
Martin's Point
| Facility | $12.61 | $277.00 | $497.38 | |
Priority Health
| Facility | $12.86 | $355.78 | $1,034.89 | |
UPMC Health Plan
| Facility | $11.01 | $11.01 | $220.55 |