| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,602.52 | $8,914.10 | $14,758.01 | |
Cigna
| Facility | $1,205.52 | $1,205.52 | $1,363.00 | |
Cigna
| Facility | AS | $118.93 | $118.93 | $118.93 |
Martin's Point
| Facility | $5,361.64 | $6,603.83 | $14,758.01 |