| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557,317.93 | $1,428,930.00 | $1,645,430.00 | |
Aetna
| Professional | $557,317.93 | $562,891.11 | $654,925.00 | |
Capital Blue Cross
| Facility | $57,255.43 | $604,637.38 | $755,796.73 | |
Capital Blue Cross
| Professional | $578,348.80 | $578,348.80 | $578,348.80 | |
Martin's Point
| Facility | $1,428,930.00 | $1,645,430.00 | $1,645,430.00 | |
Martin's Point
| Professional | $557,317.93 | $562,891.11 | $1,645,430.00 |