| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.64 | $741.64 | $1,575.98 | |
Aetna
| Professional | $600.73 | $600.73 | $600.73 | |
Anthem BCBS
| Professional | $296.66 | $296.66 | $482.06 | |
Martin's Point
| Facility | $741.64 | $741.64 | $1,201.46 | |
Martin's Point
| Professional | $600.73 | $600.73 | $741.64 | |
United
| Professional | $444.98 | $444.98 | $1,112.46 |