| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,562.04 | $13,045.34 | $14,547.20 | |
Aetna
| Facility | 52 | $7,408.21 | $7,408.21 | $7,408.21 |
Anthem BCBS
| Facility | $44,569.01 | $56,593.28 | $65,823.96 | |
Martin's Point
| Facility | $6,480.95 | $13,045.34 | $36,299.51 | |
Martin's Point
| Facility | 52 | $7,408.21 | $7,408.21 | $7,408.21 |