| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.88 | $3,839.00 | $8,247.00 | |
Aetna
| Professional | $13.60 | $49.09 | $68.43 | |
Martin's Point
| Facility | $657.00 | $4,761.00 | $8,247.00 | |
Martin's Point
| Professional | $13.60 | $56.50 | $700.00 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 | |
United
| Professional | $31.15 | $62.35 | $113.98 |