| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.00 | $80.00 | $80.00 | |
Martin's Point
| Facility | $80.00 | $80.00 | $80.00 | |
Oscar Health
| Facility | $38.00 | $46.00 | $98.00 | |
UPMC Health Plan
| Facility | $108.00 | $108.00 | $152.33 |