| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $77.62 | $281.84 | |
Ambetter
| Professional | $79.43 | $79.43 | $79.43 | |
Capital Blue Cross
| Professional | $95.50 | $97.72 | $169.82 | |
Cigna
| Professional | $51.29 | $85.11 | $173.78 | |
Emblem Health
| Professional | $81.28 | $81.28 | $134.90 | |
Geisinger
| Professional | $83.18 | $107.15 | $169.82 | |
Highmark BCBS
| Professional | $77.62 | $81.28 | $83.18 | |
Martin's Point
| Professional | $60.26 | $87.10 | $229.09 | |
Oscar Health
| Professional | $81.28 | $85.11 | $169.82 | |
UPMC Health Plan
| Professional | $19.95 | $37.15 | $186.21 | |
United
| Professional | $70.79 | $89.13 | $125.89 |