| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.00 | $1,388.00 | $1,471.00 | |
Cigna
| Facility | $250.00 | $276.00 | $600.00 | |
Martin's Point
| Facility | $250.00 | $720.00 | $1,444.00 | |
United
| Facility | $1,169.00 | $1,169.00 | $1,169.00 |