| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $5,254.00 | $10,398.00 | |
Aetna
| Professional | $641.16 | $799.18 | $1,154.35 | |
Martin's Point
| Facility | $1,301.00 | $5,526.00 | $11,083.00 | |
Martin's Point
| Professional | $641.16 | $864.72 | $3,216.00 | |
United
| Facility | $2,222.00 | $3,475.00 | $6,000.00 | |
United
| Professional | $933.50 | $1,417.76 | $2,131.16 |