| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $288.40 | $426.58 | $851.14 |
Cigna
| Facility | 26 | $60.26 | $281.84 | $398.11 |
Martin's Point
| Facility | 26 | $288.40 | $426.58 | $851.14 |
UPMC Health Plan
| Facility | 26 | $245.47 | $245.47 | $245.47 |