| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $3,715.35 | $3,801.89 | |
Cigna
| Facility | $691.83 | $691.83 | $812.83 | |
Cigna
| Facility | 22 | $977.24 | $977.24 | $977.24 |
Martin's Point
| Facility | $870.96 | $1,000.00 | $3,801.89 |