| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $112.20 | $112.20 | |
Cigna
| Professional | $13.80 | $13.80 | $13.80 | |
Geisinger
| Professional | $2.57 | $2.57 | $2.82 | |
Martin's Point
| Professional | $63.10 | $63.10 | $112.20 |