| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.90 | $31.90 | $37.97 | |
Anthem BCBS
| Professional | $25.85 | $31.05 | $40.54 | |
Martin's Point
| Professional | $31.90 | $31.90 | $31.90 | |
United
| Professional | $33.20 | $49.07 | $2,311.03 |