| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $3,981.07 | $8,317.64 | |
Aetna
| Professional | $954.99 | $1,584.89 | $6,165.95 | |
Martin's Point
| Facility | $954.99 | $3,090.30 | $8,317.64 | |
Martin's Point
| Professional | $707.95 | $1,659.59 | $7,244.36 | |
United
| Facility | $2,454.71 | $5,495.41 | $33,113.11 |