| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.57 | $30.93 | $75.42 |
Cigna
| Facility | 26 | $26.68 | $26.68 | $26.68 |
Martin's Point
| Facility | 26 | $23.57 | $42.81 | $77.06 |
Priority Health
| Facility | 26 | $16.73 | $26.68 | $26.68 |
UPMC Health Plan
| Facility | 26 | $23.17 | $23.17 | $27.50 |