| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $1,174.90 | $10,964.78 | |
Cigna
| Facility | $691.83 | $691.83 | $776.25 | |
Cigna
| Facility | 22 | $933.25 | $933.25 | $933.25 |
Martin's Point
| Facility | $851.14 | $1,174.90 | $10,964.78 |