| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,525.00 | $1,525.00 | $4,301.00 | |
Cigna
| Facility | $1,275.00 | $1,275.00 | $1,275.00 | |
Martin's Point
| Facility | $1,525.00 | $1,525.00 | $4,301.00 | |
Priority Health
| Facility | $1,275.00 | $1,275.00 | $1,275.00 | |
United
| Facility | $372.00 | $1,013.00 | $12,388.00 |