| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $1,548.82 | $1,548.82 | |
Geisinger
| Facility | $912.01 | $1,047.13 | $1,288.25 | |
Martin's Point
| Facility | $776.25 | $776.25 | $1,548.82 | |
United
| Facility | $2,041.74 | $10,232.93 | $18,197.01 |