| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $43.65 | $57.54 | |
Capital Blue Cross
| Professional | $42.66 | $50.12 | $83.18 | |
Cigna
| Professional | $42.66 | $42.66 | $42.66 | |
Emblem Health
| Professional | $79.43 | $79.43 | $79.43 | |
Geisinger
| Professional | $36.31 | $40.74 | $51.29 | |
Martin's Point
| Professional | $39.81 | $43.65 | $57.54 | |
UPMC Health Plan
| Professional | $28.18 | $47.86 | $138.04 | |
United
| Professional | $46.77 | $63.10 | $100.00 |