| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.00 | $275.00 | $421.90 | |
Anthem BCBS
| Professional | $133.66 | $134.72 | $184.44 | |
Martin's Point
| Professional | $421.90 | $421.90 | $421.90 | |
United
| Professional | $182.44 | $550.69 | $870.52 |