| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.87 | $544.72 | $1,735.60 | |
Aetna
| Professional | $323.87 | $446.87 | $559.85 | |
Martin's Point
| Facility | $446.87 | $758.85 | $1,765.14 | |
Martin's Point
| Professional | $323.87 | $455.13 | $758.85 | |
United
| Professional | $437.69 | $528.24 | $950.99 |