| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.61 | $60.94 | $145.94 |
Cigna
| Facility | 26 | $53.38 | $53.38 | $53.38 |
Martin's Point
| Facility | 26 | $45.61 | $85.29 | $149.15 |
Priority Health
| Facility | 26 | $53.38 | $53.38 | $53.38 |
UPMC Health Plan
| Facility | 26 | $45.89 | $45.89 | $62.00 |