| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $35.50 | $46.65 | $113.60 |
Cigna
| Facility | 26 | $41.12 | $41.12 | $41.12 |
Martin's Point
| Facility | 26 | $35.50 | $66.39 | $116.09 |
Priority Health
| Facility | 26 | $41.12 | $41.12 | $41.12 |
UPMC Health Plan
| Facility | 26 | $35.45 | $35.45 | $41.50 |