| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,173.51 | $6,173.51 | $6,173.51 | |
Cigna
| Facility | $699.00 | $699.00 | $699.00 | |
Cigna
| Professional | $3,485.14 | $3,485.14 | $3,485.14 | |
Martin's Point
| Facility | $6,173.51 | $6,173.51 | $6,173.51 |