| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.73 | $6,703.47 | $6,703.47 | |
Aetna
| Professional | $75.00 | $75.00 | $78.03 | |
Cigna
| Facility | $358.44 | $358.44 | $358.44 | |
Martin's Point
| Facility | $160.63 | $487.73 | $6,703.47 | |
Martin's Point
| Professional | $75.00 | $75.00 | $78.03 |