| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.62 | $349.62 | $742.94 | |
Aetna
| Professional | $283.19 | $283.19 | $283.19 | |
Anthem BCBS
| Facility | $338.33 | $424.68 | $1,208.64 | |
Anthem BCBS
| Professional | $139.85 | $153.83 | $664.27 | |
Martin's Point
| Facility | $349.62 | $349.62 | $566.38 | |
Martin's Point
| Professional | $283.19 | $283.19 | $349.62 | |
United
| Professional | $178.31 | $209.77 | $524.42 |