| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,202.26 | $1,202.26 | $1,202.26 | |
Cigna
| Facility | $1,096.48 | $3,090.30 | $4,677.35 | |
Martin's Point
| Professional | $1,202.26 | $1,202.26 | $1,548.82 | |
United
| Professional | $954.99 | $954.99 | $954.99 |