| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $263.03 | $338.84 | |
Anthem BCBS
| Facility | $338.84 | $407.38 | $1,202.26 | |
Martin's Point
| Professional | $190.55 | $269.15 | $331.13 | |
United
| Professional | $177.83 | $208.93 | $501.19 |