| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.24 | $33.33 | $80.77 |
Cigna
| Facility | 26 | $30.17 | $30.17 | $30.17 |
Martin's Point
| Facility | 26 | $25.24 | $47.20 | $82.53 |
Priority Health
| Facility | 26 | $30.17 | $30.17 | $30.17 |
UPMC Health Plan
| Facility | 26 | $25.62 | $25.62 | $30.50 |