| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $5,248.07 | $5,495.41 | |
Aetna
| Facility | 50 | $0.93 | $1,905.46 | $8,317.64 |
Martin's Point
| Facility | $2,344.23 | $5,248.07 | $5,495.41 | |
Martin's Point
| Facility | 50 | $0.93 | $1,905.46 | $8,317.64 |