| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,509.00 | $1,509.00 | $1,509.00 | |
Anthem BCBS
| Facility | $350.00 | $410.00 | $475.00 | |
Martin's Point
| Facility | $1,509.00 | $1,509.00 | $1,509.00 | |
United
| Facility | $390.00 | $484.00 | $570.00 |