| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $42.42 | $44.52 | $53.34 | |
Priority Health
| Professional | $42.42 | $44.52 | $53.34 | |
UPMC Health Plan
| Facility | $31.08 | $71.04 | $71.04 | |
UPMC Health Plan
| Professional | $31.08 | $71.04 | $74.76 |