| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $131.83 | $331.13 | $501.19 |
Cigna
| Facility | 26 | $24.55 | $114.82 | $165.96 |
Martin's Point
| Facility | 26 | $138.04 | $269.15 | $467.74 |
UPMC Health Plan
| Facility | 26 | $112.20 | $112.20 | $112.20 |