| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.54 | $165.54 | $197.90 | |
Anthem BCBS
| Professional | $103.38 | $124.18 | $166.28 | |
Martin's Point
| Professional | $165.54 | $165.54 | $165.54 | |
United
| Professional | $172.51 | $231.66 | $364.02 |