| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $1,174.90 | $8,709.64 | |
Cigna
| Facility | $457.09 | $457.09 | $691.83 | |
Cigna
| Facility | 22 | $549.54 | $549.54 | $549.54 |
Martin's Point
| Facility | $0.91 | $933.25 | $8,709.64 |