| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,718.88 | $8,646.91 | $8,646.91 | |
Cigna
| Facility | $982.00 | $982.00 | $1,227.70 | |
Cigna
| Facility | AS | $120.50 | $120.50 | $120.50 |
Martin's Point
| Facility | $7,718.88 | $8,646.91 | $17,671.64 |