| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.14 | $38.02 | $56.23 |
Cigna
| Facility | 26 | $3.80 | $17.78 | $25.12 |
Martin's Point
| Facility | 26 | $16.60 | $32.36 | $56.23 |
UPMC Health Plan
| Facility | 26 | $18.20 | $18.20 | $18.20 |