| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $245.47 | $363.08 |
Cigna
| Facility | 26 | $22.91 | $107.15 | $151.36 |
Martin's Point
| Facility | 26 | $100.00 | $245.47 | $338.84 |
UPMC Health Plan
| Facility | 26 | $91.20 | $114.82 | $114.82 |