| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.29 | $59.67 | $148.10 |
Cigna
| Facility | 26 | $51.90 | $51.90 | $51.90 |
Martin's Point
| Facility | 26 | $45.29 | $82.88 | $148.10 |
Priority Health
| Facility | 26 | $51.90 | $51.90 | $51.90 |
UPMC Health Plan
| Facility | 26 | $45.55 | $45.55 | $49.50 |