| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.00 | $15.14 | $34.64 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Martin's Point
| Professional | $11.00 | $15.14 | $69.00 | |
Priority Health
| Professional | $0.12 | $0.12 | $0.12 |