| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.25 | $32.03 | $77.59 |
Cigna
| Facility | 26 | $28.31 | $28.31 | $28.31 |
Martin's Point
| Facility | 26 | $24.25 | $45.35 | $79.30 |
Priority Health
| Facility | 26 | $28.31 | $28.31 | $28.31 |
UPMC Health Plan
| Facility | 26 | $24.63 | $24.63 | $30.00 |