| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $675.20 | $708.62 | $849.01 | |
Priority Health
| Professional | $675.20 | $708.62 | $849.01 | |
UPMC Health Plan
| Facility | $677.33 | $677.33 | $785.95 | |
UPMC Health Plan
| Professional | $677.33 | $677.33 | $785.95 |