| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,019.24 | $8,789.81 | $9,082.62 | |
Aetna
| Professional | $137.47 | $137.47 | $252.41 | |
Cigna
| Professional | $165.00 | $165.00 | $165.00 | |
Martin's Point
| Facility | $8,019.24 | $8,789.81 | $9,082.62 | |
Martin's Point
| Professional | $137.47 | $137.47 | $529.04 |