| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $42.42 | $440.37 | |
Anthem BCBS
| Professional | $283.70 | $283.70 | $629.29 | |
Martin's Point
| Professional | $42.42 | $420.00 | $479.64 | |
United
| Professional | $50.00 | $60.00 | $76.48 |