| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $812.83 | |
Cigna
| Facility | $50.12 | $50.12 | $50.12 | |
Martin's Point
| Facility | $707.95 | $707.95 | $812.83 |
Incremental Nursing Charge-Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $812.83 | |
Cigna
| Facility | $50.12 | $50.12 | $50.12 | |
Martin's Point
| Facility | $707.95 | $707.95 | $812.83 |