| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,133.39 | $5,133.39 | $5,133.39 | |
Cigna
| Professional | $15,500.00 | $15,500.00 | $16,740.00 | |
Martin's Point
| Professional | $5,133.39 | $5,133.39 | $6,850.00 | |
Priority Health
| Professional | $15,500.00 | $15,500.00 | $16,740.00 |