| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.96 | $3,839.00 | $8,247.00 | |
Aetna
| Professional | $84.00 | $128.07 | $179.44 | |
Martin's Point
| Facility | $657.00 | $4,761.00 | $8,247.00 | |
Martin's Point
| Professional | $84.00 | $148.56 | $700.00 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 | |
United
| Professional | $150.44 | $196.06 | $318.17 |