| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,603.83 | $6,603.83 | $11,806.41 | |
Aetna
| Professional | $2,470.00 | $2,470.00 | $4,816.50 | |
Cigna
| Facility | $699.00 | $699.00 | $699.00 | |
Martin's Point
| Facility | $0.45 | $6,603.83 | $11,806.41 | |
Martin's Point
| Professional | $2,470.00 | $2,470.00 | $4,816.50 |