| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,910.85 | $3,301.91 | $4,320.68 | |
Cigna
| Facility | $699.00 | $699.00 | $699.00 | |
Cigna
| Professional | $4,004.79 | $4,004.79 | $4,004.79 | |
Martin's Point
| Facility | $1,910.85 | $7,261.71 | $11,161.62 |