| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.48 | $16.42 | $39.94 |
Cigna
| Facility | 26 | $15.01 | $15.01 | $15.01 |
Martin's Point
| Facility | 26 | $12.48 | $23.34 | $40.81 |
Priority Health
| Facility | 26 | $8.82 | $15.01 | $15.01 |
UPMC Health Plan
| Facility | 26 | $12.62 | $12.62 | $19.50 |