| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $131.83 | $457.09 | |
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Geisinger
| Facility | $158.49 | $158.49 | $190.55 | |
Martin's Point
| Facility | $125.89 | $128.82 | $186.21 | |
Oscar Health
| Facility | $213.80 | $213.80 | $323.59 | |
UPMC Health Plan
| Facility | $123.03 | $199.53 | $467.74 |