| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,301.00 | $4,597.00 | $8,247.00 | |
Aetna
| Professional | $7,197.00 | $18,028.12 | $18,028.12 | |
Martin's Point
| Facility | $1,020.00 | $4,761.00 | $8,247.00 | |
Martin's Point
| Professional | $600.00 | $2,337.00 | $18,028.12 | |
United
| Facility | $3,340.00 | $7,000.00 | $12,076.00 |