| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.47 | $25.47 | $33.79 | |
Cigna
| Professional | $155.19 | $155.19 | $155.19 | |
Martin's Point
| Professional | $25.47 | $25.47 | $33.79 | |
Priority Health
| Professional | $155.19 | $155.19 | $155.19 |