| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.80 | $267.80 | $267.80 | |
Cigna
| Facility | $382.54 | $382.54 | $382.54 | |
Emblem Health
| Facility | $734.71 | $734.71 | $734.71 | |
Martin's Point
| Facility | $267.80 | $267.80 | $267.80 | |
Priority Health
| Facility | $382.54 | $382.54 | $382.54 |