| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.17 | $319.17 | $8,663.21 | |
Cigna
| Facility | $294.83 | $294.83 | $699.00 | |
Cigna
| Facility | 52 | $230.55 | $230.55 | $230.55 |
Martin's Point
| Facility | $8,663.21 | $8,663.21 | $8,663.21 |