| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $7,079.46 | $16,218.10 | |
Cigna
| Facility | $588.84 | $588.84 | $870.96 | |
Cigna
| Facility | AS | $58.88 | $58.88 | $58.88 |
Martin's Point
| Facility | $2,238.72 | $7,079.46 | $16,218.10 |