| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.39 | $176.39 | $176.39 | |
Cigna
| Facility | $212.02 | $212.02 | $212.02 | |
Emblem Health
| Facility | $402.82 | $402.82 | $402.82 | |
Martin's Point
| Facility | $176.39 | $176.39 | $176.39 | |
Priority Health
| Facility | $212.02 | $212.02 | $212.02 |