| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $311.17 | $348.62 | $348.62 |
Cigna
| Facility | 26 | $369.73 | $369.73 | $369.73 |
Martin's Point
| Facility | 26 | $348.62 | $348.62 | $348.62 |
Priority Health
| Facility | 26 | $339.34 | $369.73 | $369.73 |
UPMC Health Plan
| Facility | 26 | $319.44 | $319.44 | $338.39 |