| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.27 | $38.44 | $93.66 |
Cigna
| Facility | 26 | $34.02 | $34.02 | $34.02 |
Martin's Point
| Facility | 26 | $29.27 | $54.73 | $95.71 |
Priority Health
| Facility | 26 | $34.02 | $34.02 | $34.02 |
UPMC Health Plan
| Facility | 26 | $29.56 | $29.56 | $34.50 |