| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $493.26 | $493.26 | $531.53 | |
Aetna
| Professional | $180.72 | $180.72 | $180.72 | |
Anthem BCBS
| Professional | $180.30 | $180.30 | $198.00 | |
Martin's Point
| Facility | $493.26 | $493.26 | $531.53 | |
Martin's Point
| Professional | $180.72 | $180.72 | $531.53 | |
United
| Professional | $180.30 | $180.30 | $261.44 |