| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $3,839.00 | $8,247.00 | |
Aetna
| Professional | $1,201.78 | $1,201.78 | $1,507.37 | |
Martin's Point
| Facility | $832.00 | $4,761.00 | $8,247.00 | |
Martin's Point
| Professional | $1,201.78 | $1,201.78 | $2,843.00 | |
United
| Facility | $144.00 | $650.00 | $3,742.00 |