| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $144.54 | $5,888.44 | |
Cigna
| Facility | $181.97 | $181.97 | $616.60 | |
Cigna
| Facility | 52 | $144.54 | $144.54 | $144.54 |
Martin's Point
| Facility | $120.23 | $144.54 | $5,888.44 |