| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,057.36 | $3,057.36 | $10,839.48 | |
Cigna
| Facility | $699.00 | $699.00 | $699.00 | |
Cigna
| Professional | $5,472.96 | $6,557.22 | $17,232.93 | |
Martin's Point
| Facility | $3,057.36 | $3,057.36 | $10,839.48 |