| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.66 | $33.29 | $88.51 |
Cigna
| Facility | 26 | $31.67 | $31.67 | $31.67 |
Martin's Point
| Facility | 26 | $27.66 | $36.74 | $90.45 |
Priority Health
| Facility | 26 | $11.98 | $31.67 | $31.67 |
UPMC Health Plan
| Facility | 26 | $19.50 | $27.86 | $27.86 |