| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.64 | $26.00 | $62.85 |
Cigna
| Facility | 26 | $23.26 | $23.26 | $23.26 |
Martin's Point
| Facility | 26 | $19.64 | $36.72 | $64.22 |
Priority Health
| Facility | 26 | $23.26 | $23.26 | $23.26 |
UPMC Health Plan
| Facility | 26 | $20.29 | $20.29 | $24.50 |