| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.20 | $58.88 | $109.65 |
Cigna
| Facility | 26 | $6.76 | $31.62 | $45.71 |
Martin's Point
| Facility | 26 | $30.20 | $57.54 | $102.33 |
UPMC Health Plan
| Facility | 26 | $19.50 | $19.50 | $27.54 |