| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $829.00 | $4,608.00 | $10,126.00 | |
Cigna
| Facility | $1,323.00 | $4,733.00 | $8,400.00 | |
Martin's Point
| Facility | $521.00 | $4,056.00 | $8,392.00 | |
Priority Health
| Facility | $1,275.00 | $2,765.00 | $8,000.00 | |
United
| Facility | $497.00 | $1,104.83 | $9,780.00 |