| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.24 | $41.03 | $99.97 |
Cigna
| Facility | 26 | $35.96 | $35.96 | $35.96 |
Martin's Point
| Facility | 26 | $31.24 | $58.39 | $102.16 |
Priority Health
| Facility | 26 | $35.96 | $35.96 | $35.96 |
UPMC Health Plan
| Facility | 26 | $31.54 | $31.54 | $37.00 |