| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $315.77 | $321.52 | $356.51 |
Cigna
| Facility | 54 | $501.95 | $501.95 | $501.95 |
Martin's Point
| Facility | 54 | $321.52 | $321.52 | $356.51 |
Priority Health
| Facility | 54 | $501.95 | $501.95 | $501.95 |