| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.36 | $83.39 | $199.55 |
Cigna
| Facility | 26 | $74.48 | $74.48 | $74.48 |
Martin's Point
| Facility | 26 | $62.36 | $116.61 | $203.92 |
Priority Health
| Facility | 26 | $47.34 | $74.48 | $74.48 |
UPMC Health Plan
| Facility | 26 | $63.88 | $63.88 | $72.15 |