| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $66.93 | $88.20 | $214.18 |
Cigna
| Facility | 26 | $78.06 | $78.06 | $78.06 |
Martin's Point
| Facility | 26 | $66.93 | $125.16 | $218.86 |
Priority Health
| Facility | 26 | $78.06 | $78.06 | $78.06 |
UPMC Health Plan
| Facility | 26 | $67.17 | $67.17 | $77.73 |