| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.86 | $77.95 | $90.50 | |
Capital Blue Cross
| Professional | $78.59 | $81.55 | $143.25 | |
Cigna
| Professional | $69.93 | $69.93 | $69.93 | |
Emblem Health
| Professional | $116.77 | $116.77 | $116.77 | |
Martin's Point
| Professional | $59.64 | $79.83 | $92.65 | |
Priority Health
| Professional | $69.93 | $69.93 | $69.93 | |
UPMC Health Plan
| Professional | $74.62 | $76.50 | $91.50 | |
United
| Professional | $72.08 | $99.76 | $161.13 |