| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.66 | $27.27 | $67.56 |
Cigna
| Facility | 26 | $24.06 | $24.06 | $24.06 |
Martin's Point
| Facility | 26 | $20.66 | $32.93 | $69.20 |
Priority Health
| Facility | 26 | $24.06 | $24.06 | $24.06 |
UPMC Health Plan
| Facility | 26 | $20.97 | $20.97 | $25.00 |