| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Capital Blue Cross
| Professional | $42.17 | $47.81 | $49.61 | |
Cigna
| Professional | $40.95 | $40.95 | $40.95 | |
Martin's Point
| Professional | $25.00 | $25.00 | $25.00 | |
Priority Health
| Professional | $40.95 | $40.95 | $40.95 |