| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.85 | $2,951.21 | $4,168.69 | |
Aetna
| Facility | 50 | $3,890.45 | $3,890.45 | $4,265.80 |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Martin's Point
| Facility | $0.85 | $1,778.28 | $4,168.69 | |
Martin's Point
| Facility | 50 | $3,890.45 | $3,890.45 | $4,265.80 |