| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.54 | $176.87 | $221.08 | |
Capital Blue Cross
| Professional | $182.84 | $215.10 | $347.33 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Emblem Health
| Professional | $309.45 | $309.45 | $309.45 | |
Martin's Point
| Professional | $162.41 | $178.81 | $223.37 | |
Priority Health
| Professional | $184.50 | $184.50 | $184.50 | |
UPMC Health Plan
| Professional | $199.58 | $204.78 | $243.36 | |
United
| Professional | $201.18 | $265.87 | $409.89 |