| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.93 | $43.14 | $105.38 |
Cigna
| Facility | 26 | $36.35 | $36.35 | $36.35 |
Martin's Point
| Facility | 26 | $32.93 | $58.43 | $107.68 |
Priority Health
| Facility | 26 | $36.35 | $36.35 | $36.35 |
UPMC Health Plan
| Facility | 26 | $32.51 | $32.51 | $37.50 |