| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.44 | $17.75 | $43.01 |
Cigna
| Facility | 26 | $15.85 | $15.85 | $15.85 |
Martin's Point
| Facility | 26 | $13.44 | $25.13 | $43.95 |
Priority Health
| Facility | 26 | $15.85 | $15.85 | $15.85 |
UPMC Health Plan
| Facility | 26 | $13.95 | $13.95 | $16.50 |