| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.78 | $22.32 | $53.70 |
Cigna
| Facility | 26 | $19.67 | $19.67 | $19.67 |
Martin's Point
| Facility | 26 | $16.78 | $31.38 | $54.87 |
Priority Health
| Facility | 26 | $19.67 | $19.67 | $19.67 |
UPMC Health Plan
| Facility | 26 | $16.92 | $16.92 | $19.01 |