| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,370.32 | $5,623.41 | $7,079.46 | |
Cigna
| Facility | $12,302.69 | $12,589.25 | $12,589.25 | |
Martin's Point
| Facility | $5,370.32 | $5,623.41 | $7,079.46 |
Trauma Response-Other Trauma Response
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,370.32 | $5,623.41 | $7,079.46 | |
Cigna
| Facility | $12,302.69 | $12,589.25 | $12,589.25 | |
Martin's Point
| Facility | $5,370.32 | $5,623.41 | $7,079.46 |