| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $906.54 | $906.54 | $906.54 | |
Cigna
| Professional | $486.32 | $510.39 | $611.51 | |
Martin's Point
| Professional | $906.54 | $906.54 | $906.54 | |
Priority Health
| Professional | $486.32 | $510.39 | $611.51 | |
United
| Professional | $168.19 | $224.52 | $374.20 |