| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.49 | $63.49 | $113.00 | |
Cigna
| Professional | $13.80 | $13.80 | $13.80 | |
Martin's Point
| Professional | $63.49 | $63.49 | $113.00 | |
Priority Health
| Professional | $13.80 | $13.80 | $13.80 |