| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.41 | $3,839.00 | $8,247.00 | |
Aetna
| Professional | $205.73 | $296.41 | $367.05 | |
Martin's Point
| Facility | $657.00 | $4,761.00 | $8,247.00 | |
Martin's Point
| Professional | $199.88 | $311.04 | $700.00 | |
United
| Facility | $625.00 | $2,391.00 | $6,322.00 | |
United
| Professional | $304.55 | $408.48 | $675.79 |