| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.76 | $58.76 | $61.89 | |
Cigna
| Professional | $3.20 | $3.20 | $3.20 | |
Martin's Point
| Professional | $36.64 | $58.76 | $61.89 | |
Priority Health
| Professional | $3.20 | $3.20 | $3.20 |