| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.55 | $64.19 | $82.24 | |
Cigna
| Facility | $74.56 | $74.56 | $74.56 | |
Cigna
| Professional | $311.81 | $311.81 | $311.81 | |
Martin's Point
| Professional | $41.55 | $63.98 | $79.73 | |
Priority Health
| Facility | $74.56 | $74.56 | $74.56 | |
Priority Health
| Professional | $311.81 | $311.81 | $311.81 | |
United
| Professional | $57.86 | $72.18 | $113.19 |