| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.86 | $39.29 | $82.75 |
Cigna
| Facility | 26 | $29.95 | $29.95 | $29.95 |
Martin's Point
| Facility | 26 | $25.86 | $48.36 | $84.56 |
Priority Health
| Facility | 26 | $29.95 | $29.95 | $29.95 |
UPMC Health Plan
| Facility | 26 | $26.01 | $26.01 | $32.50 |