| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
Capital Blue Cross
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Priority Health
| Professional | $0.51 | $0.51 | $0.51 |