| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.94 | $42.91 | $111.14 |
Cigna
| Facility | 26 | $46.26 | $46.26 | $46.26 |
Martin's Point
| Facility | 26 | $41.94 | $56.62 | $111.14 |
Priority Health
| Facility | 26 | $46.26 | $46.26 | $46.26 |
UPMC Health Plan
| Facility | 26 | $39.52 | $39.52 | $59.00 |