| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $97.00 | $106.70 | $310.39 |
Cigna
| Facility | 26 | $113.90 | $113.90 | $113.90 |
Martin's Point
| Facility | 26 | $97.00 | $177.51 | $324.95 |
Priority Health
| Facility | 26 | $113.90 | $113.90 | $113.90 |
UPMC Health Plan
| Facility | 26 | $97.56 | $97.56 | $112.60 |