| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Capital Blue Cross
| Facility | $967.00 | $967.00 | $967.00 | |
Cigna
| Professional | $14.40 | $14.40 | $14.40 | |
Martin's Point
| Professional | $50.00 | $50.00 | $50.00 | |
Priority Health
| Professional | $14.40 | $14.40 | $14.40 |