| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $908.00 | $1,085.00 | $1,211.00 | |
Cigna
| Facility | $300.00 | $552.00 | $1,133.00 | |
Martin's Point
| Facility | $1,085.00 | $1,085.00 | $1,211.00 | |
Priority Health
| Facility | $175.00 | $700.00 | $1,133.00 |