| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $147.91 | $186.21 | |
Capital Blue Cross
| Professional | $158.49 | $186.21 | $295.12 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
Emblem Health
| Professional | $302.00 | $302.00 | $302.00 | |
Geisinger
| Professional | $131.83 | $151.36 | $190.55 | |
Martin's Point
| Professional | $131.83 | $151.36 | $186.21 | |
UPMC Health Plan
| Professional | $169.82 | $173.78 | $478.63 | |
United
| Professional | $158.49 | $208.93 | $331.13 |