| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,942.73 | $5,942.73 | $6,690.02 | |
Cigna
| Facility | $695.98 | $695.98 | $699.00 | |
Cigna
| Facility | AS | $69.31 | $69.31 | $69.31 |
Martin's Point
| Facility | $5,942.73 | $5,963.58 | $6,690.02 |