| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.00 | $2,422.00 | $7,799.00 | |
Aetna
| Professional | $167.91 | $241.59 | $299.55 | |
Martin's Point
| Facility | $641.00 | $2,371.00 | $8,017.00 | |
Martin's Point
| Professional | $167.91 | $259.27 | $1,541.00 | |
United
| Facility | $162.00 | $577.00 | $3,742.00 | |
United
| Professional | $276.17 | $370.82 | $552.75 |