| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,460.73 | $91,443.44 | $91,443.44 | |
Aetna
| Professional | $1,630.18 | $1,630.18 | $15,997.62 | |
Anthem BCBS
| Professional | $20.01 | $20.01 | $20.01 | |
Martin's Point
| Facility | $14,460.73 | $29,354.10 | $91,443.44 | |
Martin's Point
| Professional | $1,630.18 | $1,630.18 | $14,448.64 |