| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.89 | $9,772.37 | $12,022.64 | |
Aetna
| Professional | $724.44 | $912.01 | $4,897.79 | |
Martin's Point
| Facility | $0.89 | $6,760.83 | $12,022.64 | |
Martin's Point
| Professional | $724.44 | $912.01 | $4,897.79 |