| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $64.02 | $118.40 | $130.12 | |
Oscar Health
| Professional | $61.50 | $72.30 | $107.50 | |
Priority Health
| Professional | $64.02 | $107.16 | $130.12 | |
UPMC Health Plan
| Facility | $38.68 | $38.68 | $59.00 | |
UPMC Health Plan
| Professional | $38.10 | $38.68 | $59.00 |