| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $69.13 | $89.87 | $246.30 |
Cigna
| Facility | 26 | $87.95 | $87.95 | $87.95 |
Martin's Point
| Facility | 26 | $69.13 | $100.24 | $252.32 |
Priority Health
| Facility | 26 | $87.95 | $87.95 | $87.95 |
UPMC Health Plan
| Facility | 26 | $76.01 | $76.01 | $89.84 |