| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.35 | $17.35 | $21.68 | |
Priority Health
| Professional | $17.35 | $17.35 | $21.68 | |
UPMC Health Plan
| Facility | $15.29 | $15.29 | $16.82 | |
UPMC Health Plan
| Professional | $13.46 | $15.29 | $16.82 |