| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $77.62 | $85.11 | $141.25 |
Cigna
| Facility | 26 | $19.50 | $91.20 | $131.83 |
Martin's Point
| Facility | 26 | $77.62 | $85.11 | $141.25 |
UPMC Health Plan
| Facility | 26 | $79.43 | $89.13 | $89.13 |