| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,128.61 | $5,128.61 | $5,128.61 | |
Cigna
| Professional | $5,623.41 | $5,623.41 | $7,079.46 | |
Martin's Point
| Professional | $5,128.61 | $5,128.61 | $5,128.61 | |
United
| Professional | $398.11 | $398.11 | $398.11 |