| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.97 | $58.91 | $143.90 |
Cigna
| Facility | 26 | $52.93 | $52.93 | $52.93 |
Martin's Point
| Facility | 26 | $44.97 | $82.30 | $147.05 |
Priority Health
| Facility | 26 | $52.93 | $52.93 | $52.93 |
UPMC Health Plan
| Facility | 26 | $45.53 | $45.53 | $53.50 |