| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.40 | $4,168.69 | $4,168.69 | |
Aetna
| Professional | $165.96 | $1,096.48 | $1,995.26 | |
Cigna
| Facility | $691.83 | $691.83 | $691.83 | |
Martin's Point
| Facility | $0.40 | $0.40 | $4,168.69 | |
Martin's Point
| Professional | $165.96 | $1,096.48 | $1,995.26 |