| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,201.00 | $1,201.00 | $1,201.00 | |
Cigna
| Facility | $1,124.15 | $2,278.87 | $4,691.05 | |
Martin's Point
| Professional | $1,201.00 | $1,201.00 | $1,237.03 | |
Priority Health
| Facility | $1,097.28 | $2,127.92 | $4,691.05 |