| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.85 | $16.80 | $42.05 |
Cigna
| Facility | 26 | $15.01 | $15.01 | $15.01 |
Martin's Point
| Facility | 26 | $12.85 | $19.52 | $48.84 |
Priority Health
| Facility | 26 | $11.98 | $15.01 | $15.01 |
UPMC Health Plan
| Facility | 26 | $12.93 | $12.93 | $19.50 |