| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $822.00 | $2,737.00 | $6,325.00 | |
Cigna
| Facility | $1,047.00 | $2,314.00 | $3,675.00 | |
Martin's Point
| Facility | $455.00 | $2,020.00 | $4,823.00 | |
Priority Health
| Facility | $1,016.00 | $1,860.00 | $3,500.00 | |
United
| Facility | $497.00 | $1,054.00 | $9,780.00 |