| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.00 | $3,243.00 | $13,423.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Martin's Point
| Facility | $617.00 | $3,839.00 | $15,600.00 | |
UPMC Health Plan
| Facility | $85.95 | $85.95 | $456.62 | |
United
| Facility | $435.00 | $1,305.00 | $4,095.00 |