| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.07 | $43.07 | $102.62 |
Cigna
| Facility | 26 | $38.02 | $38.02 | $38.02 |
Martin's Point
| Facility | 26 | $32.07 | $59.97 | $104.87 |
Priority Health
| Facility | 26 | $38.02 | $38.02 | $38.02 |
UPMC Health Plan
| Facility | 26 | $33.26 | $33.26 | $40.00 |