| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.00 | $22.51 | $22.51 | |
Cigna
| Facility | $77.00 | $77.00 | $77.00 | |
Cigna
| Professional | $20.89 | $20.89 | $192.19 | |
Martin's Point
| Professional | $10.34 | $22.51 | $22.51 | |
Priority Health
| Facility | $77.00 | $77.00 | $77.00 | |
Priority Health
| Professional | $20.89 | $77.00 | $192.19 |