| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,998.68 | $4,998.68 | $4,998.68 | |
Capital Blue Cross
| Facility | $708.57 | $830.00 | $8,639.91 | |
Capital Blue Cross
| Professional | $830.00 | $830.00 | $830.00 | |
Emblem Health
| Professional | $722.50 | $850.00 | $850.00 | |
Martin's Point
| Professional | $4,998.68 | $4,998.68 | $4,998.68 | |
United
| Professional | $888.93 | $888.93 | $1,227.60 |