| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $420.82 | $443.71 | $1,151.72 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Martin's Point
| Professional | $420.82 | $420.82 | $1,151.72 | |
Priority Health
| Facility | $64.00 | $64.00 | $64.00 |