| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.81 | $189.48 | $216.00 | |
Cigna
| Facility | $239.92 | $239.92 | $239.92 | |
Cigna
| Professional | $172.39 | $172.39 | $329.53 | |
Martin's Point
| Professional | $172.81 | $189.48 | $216.00 | |
Priority Health
| Facility | $239.92 | $239.92 | $239.92 | |
Priority Health
| Professional | $172.39 | $263.63 | $329.53 | |
United
| Professional | $181.48 | $241.40 | $339.82 |