| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.14 | $53.95 | $131.65 |
Cigna
| Facility | 26 | $48.31 | $48.31 | $48.31 |
Martin's Point
| Facility | 26 | $41.14 | $76.93 | $134.53 |
Priority Health
| Facility | 26 | $27.73 | $48.31 | $48.31 |
UPMC Health Plan
| Facility | 26 | $41.25 | $41.25 | $44.00 |