| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.48 | $83.26 | $83.26 |
Cigna
| Facility | 26 | $88.74 | $88.74 | $88.74 |
Martin's Point
| Facility | 26 | $83.26 | $83.26 | $83.26 |
Priority Health
| Facility | 26 | $82.89 | $88.74 | $88.74 |
UPMC Health Plan
| Facility | 26 | $76.38 | $76.38 | $89.00 |