| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $589.00 | $706.00 | $787.00 | |
Cigna
| Facility | $50.00 | $50.00 | $50.00 | |
Martin's Point
| Facility | $706.00 | $706.00 | $787.00 | |
Priority Health
| Facility | $50.00 | $50.00 | $50.00 |