| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.61 | $40.90 | $40.90 |
Cigna
| Facility | 26 | $43.62 | $43.62 | $43.62 |
Martin's Point
| Facility | 26 | $40.90 | $40.90 | $40.90 |
Priority Health
| Facility | 26 | $40.99 | $43.62 | $43.62 |
UPMC Health Plan
| Facility | 26 | $37.69 | $37.69 | $49.00 |