| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $251.87 | $264.33 | $316.70 | |
Oscar Health
| Professional | $170.00 | $170.00 | $613.90 | |
Priority Health
| Professional | $251.87 | $264.33 | $316.70 | |
UPMC Health Plan
| Facility | $157.87 | $215.56 | $215.56 | |
UPMC Health Plan
| Professional | $157.87 | $215.56 | $233.52 |