| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.71 | $39.29 | $4,609.71 | |
Aetna
| Professional | $28.21 | $38.94 | $44.68 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $49.05 | $50.90 | $50.90 | |
Martin's Point
| Facility | $39.29 | $39.29 | $4,609.71 | |
Martin's Point
| Professional | $28.21 | $38.94 | $44.68 |