| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,462.00 | $5,350.00 | $10,527.00 | |
Aetna
| Professional | $13,753.37 | $13,753.37 | $13,753.37 | |
Martin's Point
| Facility | $1,426.00 | $5,526.00 | $11,083.00 | |
Martin's Point
| Professional | $700.00 | $3,216.00 | $13,753.37 | |
United
| Facility | $1,447.00 | $3,311.00 | $5,762.00 |