| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $102.33 | $239.88 | $346.74 |
Cigna
| Facility | 26 | $21.88 | $102.33 | $147.91 |
Martin's Point
| Facility | 26 | $102.33 | $229.09 | $323.59 |
UPMC Health Plan
| Facility | 26 | $87.10 | $87.10 | $89.13 |