| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.39 | $19.27 | $19.27 | |
Cigna
| Professional | $68.79 | $68.79 | $176.25 | |
Martin's Point
| Professional | $19.27 | $19.27 | $19.27 | |
Priority Health
| Professional | $68.79 | $141.00 | $176.25 |