| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.32 | $20.32 | $25.82 | |
Aetna
| Professional | $19.21 | $20.32 | $20.32 | |
Emblem Health
| Professional | $38,249.62 | $38,249.62 | $38,249.62 | |
Martin's Point
| Facility | $20.32 | $25.82 | $29.07 | |
Martin's Point
| Professional | $19.21 | $20.32 | $25.82 |