| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.65 | $48.80 | $1,359.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Cigna
| Facility | $51.14 | $51.14 | $51.14 | |
Martin's Point
| Facility | $48.80 | $48.80 | $1,812.00 | |
Priority Health
| Facility | $51.14 | $51.14 | $51.14 | |
UPMC Health Plan
| Facility | $44.33 | $44.33 | $44.33 |