| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,068.00 | $3,839.00 | $8,017.00 | |
Aetna
| Professional | $485.00 | $1,544.00 | $7,197.00 | |
Martin's Point
| Facility | $1,013.00 | $4,068.00 | $8,017.00 | |
Martin's Point
| Professional | $485.00 | $1,749.00 | $7,197.00 | |
United
| Facility | $3,742.00 | $8,870.00 | $20,021.00 |