| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.50 | $39.85 | $207.00 | |
Cigna
| Facility | $30.00 | $38.00 | $80.00 | |
Martin's Point
| Facility | $24.50 | $39.85 | $207.00 | |
Priority Health
| Facility | $30.00 | $38.00 | $80.00 | |
UPMC Health Plan
| Facility | $36.00 | $36.00 | $36.00 |