| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $246.58 | $250.61 | $279.45 |
Cigna
| Facility | 54 | $392.80 | $392.80 | $392.80 |
Martin's Point
| Facility | 54 | $250.61 | $250.61 | $279.45 |
Priority Health
| Facility | 54 | $392.80 | $392.80 | $392.80 |