| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $354.52 | $362.63 | $400.28 |
Cigna
| Facility | 54 | $556.47 | $556.47 | $556.47 |
Martin's Point
| Facility | 54 | $362.63 | $362.63 | $400.28 |
Priority Health
| Facility | 54 | $556.47 | $556.47 | $556.47 |