| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $7,244.36 | $9,120.11 | |
Aetna
| Facility | 50 | $0.85 | $6,760.83 | $22,387.21 |
Martin's Point
| Facility | $1,380.38 | $5,128.61 | $9,120.11 | |
Martin's Point
| Facility | 50 | $0.85 | $6,760.83 | $22,387.21 |