| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $132.16 | $155.94 | $155.94 |
Cigna
| Facility | 26 | $62.55 | $62.55 | $62.55 |
Martin's Point
| Facility | 26 | $155.94 | $155.94 | $155.94 |
Priority Health
| Facility | 26 | $62.55 | $62.55 | $62.55 |