| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.96 | $253.97 | $385.96 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Cigna
| Facility | $253.88 | $253.88 | $253.88 | |
Martin's Point
| Facility | $253.96 | $315.39 | $385.96 | |
Priority Health
| Facility | $253.88 | $253.88 | $253.88 | |
UPMC Health Plan
| Facility | $218.02 | $218.02 | $248.68 |