| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $710.00 | $710.00 | $1,508.75 | |
Aetna
| Professional | $575.10 | $575.10 | $575.10 | |
Anthem BCBS
| Professional | $284.00 | $284.00 | $461.50 | |
Martin's Point
| Facility | $710.00 | $710.00 | $1,150.20 | |
Martin's Point
| Professional | $575.10 | $575.10 | $710.00 | |
United
| Professional | $362.10 | $426.00 | $1,242.50 |