| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,971.37 | $7,427.47 | $10,774.56 | |
Community Health Options
| Facility | $7,810.75 | $7,810.75 | $7,810.75 | |
Martin's Point
| Facility | $3,565.64 | $8,646.91 | $20,819.40 | |
United
| Facility | $14,287.46 | $14,287.46 | $14,287.46 |