| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $818.72 | $844.03 | $872.15 | |
Cigna
| Facility | $260.75 | $260.75 | $611.00 | |
Cigna
| Facility | 52 | $204.01 | $204.01 | $204.01 |
Martin's Point
| Facility | $818.72 | $872.15 | $9,183.75 |