| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $245.98 | $247.72 | $277.63 |
Cigna
| Facility | 54 | $385.46 | $385.46 | $385.46 |
Martin's Point
| Facility | 54 | $247.72 | $247.72 | $277.63 |
Priority Health
| Facility | 54 | $385.46 | $385.46 | $385.46 |