| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,769.70 | $5,042.95 | $7,418.56 | |
Cigna
| Facility | $441.79 | $441.79 | $699.00 | |
Martin's Point
| Facility | $5,042.95 | $5,042.95 | $7,418.56 | |
United
| Facility | $5,484.78 | $5,484.78 | $5,484.78 |