| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $489.78 | $6,760.83 | |
Aetna
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Facility | $371.54 | $371.54 | $371.54 | |
Martin's Point
| Facility | $162.18 | $489.78 | $6,760.83 | |
Martin's Point
| Professional | $75.86 | $75.86 | $79.43 |