| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $5,754.40 | $8,511.38 | |
Aetna
| Professional | $12.88 | $57.54 | $67.61 | |
Martin's Point
| Facility | $831.76 | $4,265.80 | $8,317.64 | |
Martin's Point
| Professional | $12.88 | $57.54 | $208.93 | |
United
| Facility | $2,344.23 | $4,466.84 | $13,489.63 | |
United
| Professional | $30.20 | $57.54 | $114.82 |