| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $150.22 | $165.84 | $492.54 |
Cigna
| Facility | 26 | $178.90 | $178.90 | $178.90 |
Martin's Point
| Facility | 26 | $165.84 | $165.84 | $492.54 |
Priority Health
| Facility | 26 | $178.90 | $178.90 | $178.90 |
UPMC Health Plan
| Facility | 26 | $155.31 | $155.31 | $177.50 |