| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.13 | $23.17 | $23.17 | |
Cigna
| Professional | $16.39 | $16.39 | $88.13 | |
Martin's Point
| Professional | $23.17 | $23.17 | $23.17 | |
Priority Health
| Professional | $16.39 | $70.50 | $88.13 |