| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $817.50 | $825.68 | $1,021.88 | |
Oscar Health
| Professional | $1,107.59 | $1,347.10 | $1,347.10 | |
Priority Health
| Professional | $817.50 | $825.68 | $1,021.88 | |
UPMC Health Plan
| Facility | $654.57 | $654.57 | $662.40 | |
UPMC Health Plan
| Professional | $650.79 | $654.57 | $738.82 |