| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,424.97 | $3,735.01 | $6,603.11 | |
Cigna
| Facility | $392.46 | $392.46 | $863.00 | |
Cigna
| Facility | AS | $38.74 | $38.74 | $38.74 |
Martin's Point
| Facility | $3,424.97 | $6,603.11 | $19,921.91 |