| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.00 | $26.31 | $26.31 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $126.00 | $145.26 | $157.50 | |
Martin's Point
| Professional | $10.34 | $26.31 | $26.31 | |
Priority Health
| Facility | $100.00 | $100.00 | $100.00 | |
Priority Health
| Professional | $126.00 | $145.26 | $157.50 |