| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.98 | $35.33 | $91.53 |
Cigna
| Facility | 26 | $30.82 | $30.82 | $30.82 |
Martin's Point
| Facility | 26 | $27.98 | $49.61 | $110.56 |
Priority Health
| Facility | 26 | $30.82 | $30.82 | $30.82 |
UPMC Health Plan
| Facility | 26 | $27.16 | $27.16 | $47.00 |