| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $77.73 | $86.79 | $86.79 |
Cigna
| Facility | 26 | $92.58 | $92.58 | $92.58 |
Martin's Point
| Facility | 26 | $77.73 | $86.79 | $142.44 |
Priority Health
| Facility | 26 | $91.12 | $92.58 | $92.58 |
UPMC Health Plan
| Facility | 26 | $79.39 | $79.39 | $90.00 |