| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.05 | $3,839.00 | $8,247.00 | |
Aetna
| Professional | $203.19 | $293.05 | $362.50 | |
Martin's Point
| Facility | $657.00 | $4,761.00 | $8,247.00 | |
Martin's Point
| Professional | $197.60 | $306.83 | $700.00 | |
United
| Professional | $300.76 | $403.38 | $667.41 |