| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.18 | $92.41 | $186.18 |
Cigna
| Facility | 26 | $68.56 | $68.56 | $68.56 |
Martin's Point
| Facility | 26 | $58.18 | $108.80 | $190.25 |
Priority Health
| Facility | 26 | $43.01 | $68.56 | $68.56 |
UPMC Health Plan
| Facility | 26 | $59.48 | $59.48 | $65.97 |