| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.34 | $0.34 | $0.34 | |
Aetna
| Professional | $0.34 | $0.34 | $0.34 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $1.01 | $1.05 | $1.05 | |
Cigna
| Professional | $0.42 | $0.42 | $0.42 | |
Martin's Point
| Facility | $0.34 | $0.34 | $0.34 | |
Martin's Point
| Professional | $0.33 | $0.34 | $0.34 | |
Priority Health
| Professional | $0.42 | $0.42 | $0.42 |