| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.98 | $28.99 | $71.87 |
Cigna
| Facility | 26 | $25.91 | $25.91 | $25.91 |
Martin's Point
| Facility | 26 | $21.98 | $40.22 | $71.87 |
Priority Health
| Facility | 26 | $25.91 | $25.91 | $25.91 |
UPMC Health Plan
| Facility | 26 | $21.20 | $22.59 | $22.59 |