| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $118.93 | $157.02 | $403.20 |
Cigna
| Facility | 26 | $97.61 | $97.61 | $97.61 |
Martin's Point
| Facility | 26 | $118.93 | $230.58 | $412.02 |
Priority Health
| Facility | 26 | $62.13 | $97.61 | $97.61 |
UPMC Health Plan
| Facility | 26 | $84.93 | $84.93 | $98.26 |