| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $290.48 | $318.48 | $363.06 | |
Cigna
| Facility | $403.24 | $403.24 | $403.24 | |
Cigna
| Professional | $289.52 | $289.52 | $554.05 | |
Martin's Point
| Professional | $290.48 | $318.48 | $363.06 | |
Priority Health
| Facility | $403.24 | $403.24 | $403.24 | |
Priority Health
| Professional | $289.52 | $443.25 | $554.05 | |
United
| Professional | $321.05 | $355.11 | $553.91 |