| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.40 | $36.40 | $36.40 | |
Aetna
| Professional | $19.25 | $28.00 | $36.40 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Martin's Point
| Facility | $36.40 | $36.40 | $36.40 | |
Martin's Point
| Professional | $19.98 | $28.60 | $36.40 | |
Priority Health
| Professional | $18.97 | $18.97 | $18.97 | |
United
| Professional | $22.95 | $31.55 | $50.56 |