| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,162.28 | $3,162.28 | $7,585.78 | |
Anthem BCBS
| Facility | $12,589.25 | $13,489.63 | $18,197.01 | |
Anthem BCBS
| Professional | $1,258.93 | $2,691.53 | $3,388.44 | |
Martin's Point
| Professional | $3,162.28 | $3,162.28 | $5,888.44 |