| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.13 | $47.55 | $115.62 |
Cigna
| Facility | 26 | $41.81 | $41.81 | $41.81 |
Martin's Point
| Facility | 26 | $36.13 | $67.17 | $118.15 |
Priority Health
| Facility | 26 | $41.81 | $41.81 | $41.81 |
UPMC Health Plan
| Facility | 26 | $36.56 | $36.56 | $43.50 |