| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,893.77 | $5,348.46 | $17,410.03 | |
Cigna
| Facility | $670.45 | $670.45 | $1,835.00 | |
Cigna
| Facility | AS | $66.25 | $66.25 | $66.25 |
Martin's Point
| Facility | $802.02 | $13,019.54 | $62,717.76 |