| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $57.75 | $58.33 | $72.19 | |
Oscar Health
| Professional | $52.80 | $52.80 | $52.80 | |
Priority Health
| Professional | $57.75 | $58.33 | $72.19 | |
UPMC Health Plan
| Facility | $43.37 | $43.37 | $43.37 | |
UPMC Health Plan
| Professional | $43.37 | $43.37 | $43.37 | |
United
| Facility | $30.00 | $30.00 | $30.00 |