| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.81 | $145.47 | $178.52 | |
Capital Blue Cross
| Professional | $157.46 | $185.25 | $280.58 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Emblem Health
| Professional | $260.01 | $260.01 | $260.01 | |
Martin's Point
| Professional | $133.81 | $145.59 | $180.46 | |
Priority Health
| Professional | $154.15 | $154.15 | $154.15 | |
UPMC Health Plan
| Professional | $166.50 | $171.15 | $196.59 | |
United
| Professional | $163.31 | $205.29 | $330.67 |