| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $2,954.00 | $8,017.00 | |
Aetna
| Professional | $1,028.00 | $1,575.67 | $5,958.00 | |
Martin's Point
| Facility | $934.00 | $3,120.00 | $8,017.00 | |
Martin's Point
| Professional | $1,056.00 | $1,659.00 | $7,197.00 | |
United
| Facility | $814.00 | $2,391.00 | $6,000.00 |