| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,585.78 | $7,585.78 | $7,585.78 | |
Anthem BCBS
| Facility | $9,772.37 | $10,471.29 | $14,125.38 | |
Cigna
| Facility | $691.83 | $691.83 | $1,778.28 | |
Martin's Point
| Facility | $7,585.78 | $7,585.78 | $7,585.78 |