| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,159.68 | $4,402.55 | $8,254.79 | |
Cigna
| Facility | $427.39 | $427.39 | $863.00 | |
Cigna
| Facility | AS | $42.13 | $42.13 | $42.13 |
Martin's Point
| Facility | $2,308.19 | $6,732.54 | $18,618.68 |