| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.49 | $34.49 | $363.12 | |
Aetna
| Professional | $20.00 | $34.49 | $43.80 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $335.98 | $348.66 | $348.66 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Martin's Point
| Facility | $34.49 | $243.60 | $414.80 | |
Martin's Point
| Professional | $33.33 | $34.49 | $43.80 | |
Priority Health
| Professional | $2.02 | $2.02 | $2.02 |