| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $3,077.00 | $8,017.00 | |
Aetna
| Professional | $532.17 | $1,426.00 | $5,958.00 | |
Martin's Point
| Facility | $954.00 | $3,389.00 | $8,017.00 | |
Martin's Point
| Professional | $934.00 | $1,659.00 | $7,197.00 | |
United
| Facility | $144.00 | $674.00 | $4,300.00 |