| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $255.84 | $445.16 | $892.88 |
Cigna
| Facility | 26 | $298.81 | $298.81 | $298.81 |
Martin's Point
| Facility | 26 | $255.84 | $485.26 | $1,010.57 |
Priority Health
| Facility | 26 | $298.81 | $298.81 | $298.81 |
UPMC Health Plan
| Facility | 26 | $247.27 | $258.10 | $258.10 |