| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,239.00 | $4,239.00 | $4,239.00 | |
Anthem BCBS
| Professional | $990.72 | $1,059.59 | $1,661.85 | |
Martin's Point
| Facility | $4,239.00 | $4,239.00 | $4,239.00 | |
United
| Professional | $205.15 | $278.83 | $336.53 |