| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,910.78 | $16,910.78 | $16,910.78 | |
Aetna
| Professional | $6,840.00 | $11,983.98 | $23,152.50 | |
Martin's Point
| Facility | $16,910.78 | $16,910.78 | $16,910.78 | |
Martin's Point
| Professional | $6,840.00 | $11,983.98 | $23,152.50 |