| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.00 | $226.04 | $422.10 |
Cigna
| Facility | 26 | $179.34 | $179.34 | $179.34 |
Martin's Point
| Facility | 26 | $138.60 | $235.62 | $443.21 |
Priority Health
| Facility | 26 | $108.96 | $179.34 | $179.34 |
UPMC Health Plan
| Facility | 26 | $156.54 | $156.54 | $175.70 |