| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.57 | $147.91 | $213.80 |
Cigna
| Facility | 26 | $13.49 | $63.10 | $91.20 |
Martin's Point
| Facility | 26 | $64.57 | $147.91 | $204.17 |
UPMC Health Plan
| Facility | 26 | $54.95 | $54.95 | $60.26 |