| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,187.76 | $2,187.76 | $2,511.89 | |
Emblem Health
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
Martin's Point
| Facility | $2,187.76 | $2,187.76 | $2,511.89 | |
UPMC Health Plan
| Facility | $144.54 | $144.54 | $144.54 | |
United
| Facility | $2,041.74 | $10,232.93 | $18,197.01 |