| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,893.77 | $5,272.18 | $9,032.79 | |
Cigna
| Facility | $290.89 | $290.89 | $863.00 | |
Cigna
| Facility | 52 | $232.05 | $232.05 | $232.05 |
Martin's Point
| Facility | $3,301.55 | $7,410.15 | $14,966.29 |