| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.36 | $0.36 | $0.46 | |
Aetna
| Professional | $0.36 | $0.36 | $0.36 | |
Emblem Health
| Professional | $38,249.62 | $38,249.62 | $38,249.62 | |
Martin's Point
| Facility | $0.36 | $0.36 | $0.46 | |
Martin's Point
| Professional | $0.36 | $0.36 | $0.46 |