| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $7,244.36 | $11,220.18 | |
Aetna
| Professional | $660.69 | $1,621.81 | $3,890.45 | |
Cigna
| Facility | $691.83 | $691.83 | $691.83 | |
Martin's Point
| Facility | $1,905.46 | $4,365.16 | $11,220.18 | |
Martin's Point
| Professional | $660.69 | $1,202.26 | $3,890.45 |