| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $61.66 | $77.62 | |
Capital Blue Cross
| Professional | $57.54 | $67.61 | $114.82 | |
Cigna
| Professional | $53.70 | $70.79 | $120.23 | |
Emblem Health
| Professional | $125.89 | $125.89 | $125.89 | |
Geisinger
| Professional | $51.29 | $58.88 | $114.82 | |
Martin's Point
| Professional | $52.48 | $64.57 | $138.04 | |
UPMC Health Plan
| Professional | $56.23 | $66.07 | $245.47 | |
United
| Professional | $52.48 | $70.79 | $123.03 |