| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $490.27 | $490.27 | $12,975.77 | |
Aetna
| Facility | 50 | $8,651.94 | $8,651.94 | $8,686.10 |
Anthem BCBS
| Professional | 50 | $689.62 | $828.37 | $1,201.76 |
Martin's Point
| Facility | $12,975.77 | $12,975.77 | $12,975.77 | |
Martin's Point
| Facility | 50 | $8,651.94 | $8,651.94 | $8,686.10 |