| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.35 | $167.86 | $193.78 | |
Capital Blue Cross
| Professional | $172.83 | $179.36 | $305.87 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Emblem Health
| Professional | $260.01 | $260.01 | $260.01 | |
Martin's Point
| Professional | $127.14 | $170.70 | $202.18 | |
Priority Health
| Professional | $154.15 | $154.15 | $154.15 | |
UPMC Health Plan
| Professional | $166.50 | $171.15 | $195.36 | |
United
| Professional | $162.24 | $216.58 | $343.41 |