| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.35 | $26.80 | $65.12 |
Cigna
| Facility | 26 | $23.60 | $23.60 | $23.60 |
Martin's Point
| Facility | 26 | $20.35 | $38.04 | $66.54 |
Priority Health
| Facility | 26 | $23.60 | $23.60 | $23.60 |
UPMC Health Plan
| Facility | 26 | $20.61 | $20.61 | $117.00 |