| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.44 | $113.44 | $113.44 | |
Aetna
| Professional | $99.10 | $113.44 | $122.42 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
Martin's Point
| Professional | $99.11 | $113.43 | $117.97 |