| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.45 | $841.45 | $8,468.02 | |
Cigna
| Facility | $699.00 | $699.00 | $799.48 | |
Cigna
| Facility | AS | $79.00 | $79.00 | $79.00 |
Martin's Point
| Facility | $8,468.02 | $8,468.02 | $8,468.02 |