| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $822.00 | $3,885.00 | $6,325.00 | |
Cigna
| Facility | $1,046.00 | $2,314.00 | $3,675.00 | |
Martin's Point
| Facility | $455.00 | $2,073.00 | $4,823.00 | |
Priority Health
| Facility | $1,016.00 | $2,115.00 | $3,500.00 | |
United
| Facility | $485.00 | $1,072.00 | $10,432.00 |