| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,480.00 | $2,480.00 | $2,480.00 | |
Capital Blue Cross
| Facility | $967.00 | $967.00 | $967.00 | |
Emblem Health
| Professional | $1,799.03 | $2,116.50 | $2,116.50 | |
Martin's Point
| Professional | $2,480.00 | $2,480.00 | $2,480.00 |