| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $238.20 | $246.62 | $268.52 |
Cigna
| Facility | 54 | $383.22 | $383.22 | $383.22 |
Martin's Point
| Facility | 54 | $246.62 | $268.52 | $308.30 |
Priority Health
| Facility | 54 | $383.22 | $383.22 | $383.22 |