| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $42.42 | $62.91 | |
Anthem BCBS
| Professional | $65.00 | $65.00 | $67.90 | |
Martin's Point
| Professional | $42.42 | $60.00 | $68.52 | |
United
| Professional | $50.00 | $60.00 | $76.48 |