| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Geisinger
| Professional | $11.22 | $14.45 | $15.85 | |
UPMC Health Plan
| Facility | $7.41 | $14.45 | $15.85 | |
UPMC Health Plan
| Professional | $7.41 | $12.88 | $15.85 | |
United
| Professional | $10.96 | $12.88 | $15.14 |