| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.56 | $700.56 | $1,488.69 | |
Aetna
| Professional | $567.45 | $567.45 | $567.45 | |
Anthem BCBS
| Professional | $280.22 | $280.22 | $455.36 | |
Martin's Point
| Facility | $700.56 | $700.56 | $1,134.91 | |
Martin's Point
| Professional | $567.45 | $567.45 | $700.56 | |
United
| Professional | $357.29 | $420.34 | $1,225.98 |