| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.85 | $33.01 | $112.05 | |
Capital Blue Cross
| Professional | $16.35 | $19.23 | $36.72 | |
Cigna
| Professional | $18.05 | $20.66 | $29.52 | |
Martin's Point
| Professional | $19.23 | $31.61 | $110.19 | |
Priority Health
| Professional | $18.05 | $25.04 | $29.52 | |
UPMC Health Plan
| Professional | $19.03 | $19.03 | $31.20 | |
United
| Professional | $19.35 | $25.44 | $37.72 |