| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.23 | $72.23 | $173.54 |
Cigna
| Facility | 26 | $63.56 | $63.56 | $63.56 |
Martin's Point
| Facility | 26 | $54.23 | $101.41 | $177.33 |
Priority Health
| Facility | 26 | $38.10 | $63.56 | $63.56 |
UPMC Health Plan
| Facility | 26 | $54.76 | $54.76 | $60.00 |