| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.14 | $22.62 | $35.07 | |
Aetna
| Professional | $14.14 | $14.14 | $14.14 | |
Capital Blue Cross
| Facility | $8.89 | $10.46 | $8,639.91 | |
Capital Blue Cross
| Professional | $10.46 | $10.46 | $10.46 | |
Martin's Point
| Facility | $14.14 | $21.78 | $35.07 | |
Martin's Point
| Professional | $13.64 | $14.14 | $28.14 |