| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $614.04 | $685.17 | $1,842.88 | |
Cigna
| Facility | $219.76 | $219.76 | $611.00 | |
Cigna
| Facility | 52 | $172.10 | $172.10 | $172.10 |
Martin's Point
| Facility | $614.04 | $1,679.79 | $7,851.29 |