| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.25 | $67.11 | $160.80 |
Cigna
| Facility | 26 | $59.30 | $59.30 | $59.30 |
Martin's Point
| Facility | 26 | $50.25 | $93.97 | $164.32 |
Priority Health
| Facility | 26 | $37.25 | $59.30 | $59.30 |
UPMC Health Plan
| Facility | 26 | $51.21 | $51.21 | $57.34 |