| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $1.13 | |
Aetna
| Professional | $0.90 | $0.90 | $6.40 | |
Capital Blue Cross
| Facility | $967.00 | $57,255.43 | $79,506.39 | |
Capital Blue Cross
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
Martin's Point
| Facility | $0.90 | $0.90 | $1.13 | |
Martin's Point
| Professional | $0.90 | $0.90 | $5.39 |