| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,920.00 | $4,200.00 | $5,500.00 | |
Cigna
| Facility | $8,584.00 | $8,584.00 | $8,584.00 | |
Martin's Point
| Facility | $2,400.00 | $4,200.00 | $5,500.00 | |
United
| Facility | $1,169.00 | $1,169.00 | $1,371.00 |