| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $338.74 | $345.24 | $381.83 |
Cigna
| Facility | 54 | $528.79 | $528.79 | $528.79 |
Martin's Point
| Facility | 54 | $345.24 | $345.24 | $381.83 |
Priority Health
| Facility | 54 | $528.79 | $528.79 | $528.79 |