| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $270.11 | $279.02 | $305.20 |
Cigna
| Facility | 54 | $423.40 | $423.40 | $423.40 |
Martin's Point
| Facility | 54 | $279.02 | $279.02 | $305.20 |
Priority Health
| Facility | 54 | $423.40 | $423.40 | $423.40 |