| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.00 | $443.00 | $580.00 | |
Cigna
| Facility | $262.00 | $532.00 | $800.00 | |
Martin's Point
| Facility | $348.00 | $443.00 | $580.00 | |
Priority Health
| Facility | $262.00 | $475.00 | $800.00 |