| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.80 | $316.80 | $1,187.00 | |
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
Emblem Health
| Facility | $867.32 | $867.32 | $867.32 | |
Martin's Point
| Facility | $316.80 | $316.80 | $1,187.00 | |
Priority Health
| Facility | $451.80 | $451.80 | $451.80 |