| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.70 | $117.49 | $213.80 |
Cigna
| Facility | 26 | $13.49 | $63.10 | $89.13 |
Martin's Point
| Facility | 26 | $60.26 | $112.20 | $204.17 |
UPMC Health Plan
| Facility | 26 | $36.31 | $36.31 | $54.95 |