| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,327.76 | $4,952.33 | $8,453.33 | |
Cigna
| Facility | $375.23 | $375.23 | $699.00 | |
Cigna
| Facility | AS | $37.06 | $37.06 | $37.06 |
Martin's Point
| Facility | $2,687.55 | $5,782.48 | $9,763.26 |