| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $4,677.35 | |
Aetna
| Professional | $1,548.82 | $1,548.82 | $1,659.59 | |
Martin's Point
| Facility | $2,041.74 | $2,041.74 | $4,677.35 | |
Martin's Point
| Professional | $1,548.82 | $1,548.82 | $1,659.59 |