| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.61 | $207.54 | $237.75 | |
Capital Blue Cross
| Professional | $207.28 | $215.10 | $378.47 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Emblem Health
| Professional | $309.45 | $309.45 | $309.45 | |
Martin's Point
| Professional | $157.31 | $211.08 | $245.39 | |
Priority Health
| Professional | $184.50 | $184.50 | $184.50 | |
UPMC Health Plan
| Professional | $199.58 | $204.78 | $241.73 | |
United
| Professional | $200.75 | $267.52 | $412.44 |