| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.97 | $30.27 | $73.50 |
Cigna
| Facility | 26 | $27.06 | $27.06 | $27.06 |
Martin's Point
| Facility | 26 | $22.97 | $42.95 | $75.11 |
Priority Health
| Facility | 26 | $27.06 | $27.06 | $27.06 |
UPMC Health Plan
| Facility | 26 | $23.27 | $23.27 | $27.50 |