| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,301.00 | $3,964.00 | $8,451.00 | |
Aetna
| Professional | $3,520.23 | $3,520.23 | $3,520.23 | |
Martin's Point
| Facility | $1,013.00 | $5,342.00 | $8,599.08 | |
Martin's Point
| Professional | $1,426.00 | $2,843.00 | $7,799.00 |