| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.42 | $52.42 | $52.42 | |
Capital Blue Cross
| Professional | $43.36 | $45.00 | $45.00 | |
Cigna
| Professional | $43.50 | $43.50 | $43.50 | |
Martin's Point
| Professional | $52.42 | $52.42 | $52.42 | |
Priority Health
| Professional | $43.50 | $43.50 | $43.50 |