| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $361.53 | $373.74 | $407.39 |
Cigna
| Facility | 54 | $567.41 | $567.41 | $567.41 |
Martin's Point
| Facility | 54 | $373.74 | $373.74 | $407.39 |
Priority Health
| Facility | 54 | $567.41 | $567.41 | $567.41 |