| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $151.49 | $170.45 | $170.45 |
Cigna
| Facility | 26 | $181.80 | $181.80 | $181.80 |
Martin's Point
| Facility | 26 | $170.45 | $170.45 | $170.45 |
Priority Health
| Facility | 26 | $181.80 | $181.80 | $182.76 |
UPMC Health Plan
| Facility | 26 | $155.08 | $155.08 | $164.24 |