| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $49.97 | $65.47 | $157.94 |
Cigna
| Facility | 26 | $58.98 | $58.98 | $58.98 |
Martin's Point
| Facility | 26 | $49.97 | $77.29 | $159.94 |
Priority Health
| Facility | 26 | $37.88 | $58.98 | $58.98 |
UPMC Health Plan
| Facility | 26 | $51.19 | $51.19 | $62.00 |