| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,882.30 | $2,882.30 | $2,882.30 | |
Aetna
| Professional | $27.58 | $27.58 | $27.58 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Martin's Point
| Facility | $2,882.30 | $2,882.30 | $2,882.30 | |
Martin's Point
| Professional | $27.58 | $27.58 | $27.58 |