| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.00 | $140.00 | $616.00 | |
Aetna
| Professional | $140.00 | $350.00 | $350.00 | |
Anthem BCBS
| Facility | $125.00 | $125.00 | $150.00 | |
Martin's Point
| Facility | $140.00 | $140.00 | $616.00 | |
Martin's Point
| Professional | $140.00 | $140.00 | $140.00 |