| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.77 | $49.71 | $120.86 |
Cigna
| Facility | 26 | $44.08 | $44.08 | $44.08 |
Martin's Point
| Facility | 26 | $37.77 | $70.63 | $123.51 |
Priority Health
| Facility | 26 | $44.08 | $44.08 | $44.08 |
UPMC Health Plan
| Facility | 26 | $38.52 | $38.52 | $44.50 |