| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $324.18 | $805.34 | $869.67 | |
Cigna
| Facility | $113.40 | $113.40 | $456.00 | |
Martin's Point
| Facility | $391.82 | $711.87 | $869.67 |
Sgmdsc Flx Dired Sbmcsl Njx Any Sbst
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $324.18 | $805.34 | $869.67 | |
Cigna
| Facility | $113.40 | $113.40 | $456.00 | |
Martin's Point
| Facility | $391.82 | $711.87 | $869.67 |