| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.24 | $447.24 | $447.24 | |
Aetna
| Professional | $110.87 | $237.75 | $447.24 | |
Anthem BCBS
| Professional | $16.88 | $19.91 | $27.73 | |
Martin's Point
| Professional | $110.87 | $237.75 | $447.24 |