| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $117.90 | $140.96 | $895.10 |
Cigna
| Facility | 26 | $142.61 | $142.61 | $142.61 |
Martin's Point
| Facility | 26 | $117.90 | $176.85 | $895.10 |
Priority Health
| Facility | 26 | $142.61 | $142.61 | $142.61 |
UPMC Health Plan
| Facility | 26 | $123.00 | $123.00 | $169.00 |