| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.37 | $33.67 | $82.96 |
Cigna
| Facility | 26 | $28.97 | $28.97 | $28.97 |
Martin's Point
| Facility | 26 | $25.37 | $47.16 | $84.99 |
Priority Health
| Facility | 26 | $28.97 | $28.97 | $28.97 |
UPMC Health Plan
| Facility | 26 | $25.53 | $25.53 | $29.00 |