| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $0.73 | |
Aetna
| Professional | $0.73 | $0.73 | $0.73 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $4.28 | $4.44 | $4.44 | |
Cigna
| Professional | $8.16 | $8.16 | $8.16 | |
Martin's Point
| Facility | $0.73 | $0.73 | $0.73 | |
Martin's Point
| Professional | $0.72 | $0.73 | $0.73 | |
Priority Health
| Professional | $8.16 | $8.16 | $8.16 |