| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,941.35 | $11,941.35 | $18,975.46 | |
Cigna
| Facility | $699.00 | $699.00 | $1,095.64 | |
Cigna
| Facility | AS | $107.75 | $107.75 | $107.75 |
Martin's Point
| Facility | $4,560.22 | $4,560.22 | $18,975.46 |