| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.60 | $38.90 | $54.95 |
Cigna
| Facility | 26 | $3.55 | $16.60 | $23.44 |
Martin's Point
| Facility | 26 | $16.60 | $38.90 | $51.29 |
UPMC Health Plan
| Facility | 26 | $14.13 | $16.60 | $16.60 |