| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.29 | $99.05 | $237.73 |
Cigna
| Facility | 26 | $87.50 | $87.50 | $87.50 |
Martin's Point
| Facility | 26 | $74.29 | $138.91 | $242.93 |
Priority Health
| Facility | 26 | $54.19 | $87.50 | $87.50 |
UPMC Health Plan
| Facility | 26 | $75.43 | $75.43 | $137.00 |