| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $6,165.95 | $8,511.38 | |
Aetna
| Professional | $891.25 | $1,584.89 | $6,165.95 | |
Martin's Point
| Facility | $1,023.29 | $4,786.30 | $8,317.64 | |
Martin's Point
| Professional | $707.95 | $1,584.89 | $7,762.47 | |
United
| Facility | $144.54 | $676.08 | $4,265.80 |