| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.85 | $47.88 | $107.42 |
Cigna
| Facility | 26 | $38.68 | $38.68 | $38.68 |
Martin's Point
| Facility | 26 | $32.85 | $50.66 | $108.23 |
Priority Health
| Facility | 26 | $38.68 | $38.68 | $38.68 |
UPMC Health Plan
| Facility | 26 | $33.54 | $33.54 | $42.50 |