| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.59 | $234.01 | $320.29 | |
Capital Blue Cross
| Professional | $212.32 | $372.46 | $560.92 | |
Cigna
| Professional | $198.79 | $198.79 | $198.79 | |
Emblem Health
| Professional | $276.63 | $351.70 | $379.74 | |
Martin's Point
| Professional | $194.59 | $245.92 | $1,428.96 | |
Oscar Health
| Professional | $112.30 | $336.86 | $455.22 | |
Priority Health
| Professional | $198.79 | $198.79 | $198.79 | |
UPMC Health Plan
| Professional | $219.84 | $224.78 | $281.00 | |
United
| Professional | $171.80 | $286.33 | $462.16 |