| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $3,077.00 | $8,017.00 | |
Aetna
| Professional | $425.00 | $1,539.00 | $7,197.00 | |
Martin's Point
| Facility | $954.00 | $3,389.00 | $8,017.00 | |
Martin's Point
| Professional | $425.00 | $1,544.00 | $7,197.00 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |