| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $346.74 | $346.74 | $346.74 |
Cigna
| Facility | 26 | $77.62 | $363.08 | $524.81 |
Martin's Point
| Facility | 26 | $346.74 | $346.74 | $346.74 |
UPMC Health Plan
| Facility | 26 | $316.23 | $316.23 | $338.84 |