| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $4,365.16 | $18,620.87 | |
Cigna
| Facility | $645.65 | $645.65 | $870.96 | |
Cigna
| Facility | AS | $64.57 | $64.57 | $64.57 |
Martin's Point
| Facility | $977.24 | $4,365.16 | $18,620.87 |