| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,048.00 | $5,000.00 | $5,000.00 | |
Aetna
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
Martin's Point
| Facility | $1,980.00 | $5,000.00 | $5,000.00 | |
Martin's Point
| Professional | $1,000.00 | $1,000.00 | $5,000.00 |