| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $253.60 | $253.60 | $253.60 | |
Cigna
| Professional | $250.00 | $250.00 | $250.00 | |
Martin's Point
| Professional | $238.00 | $253.60 | $603.00 | |
Priority Health
| Professional | $250.00 | $250.00 | $250.00 | |
UPMC Health Plan
| Professional | $66.00 | $66.00 | $67.98 |