| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.13 | $23.38 | $50.97 |
Cigna
| Facility | 26 | $18.52 | $18.52 | $18.52 |
Martin's Point
| Facility | 26 | $16.13 | $24.53 | $52.75 |
Priority Health
| Facility | 26 | $11.26 | $18.52 | $18.52 |
UPMC Health Plan
| Facility | 26 | $16.25 | $16.25 | $18.00 |