| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.92 | $61.66 | $89.13 |
Cigna
| Facility | 26 | $5.62 | $26.30 | $38.02 |
Martin's Point
| Facility | 26 | $26.92 | $61.66 | $83.18 |
UPMC Health Plan
| Facility | 26 | $22.91 | $26.30 | $26.30 |