| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.83 | $74.83 | $89.38 | |
Anthem BCBS
| Professional | $90.69 | $103.38 | $162.13 | |
Martin's Point
| Professional | $74.83 | $74.83 | $74.83 | |
United
| Professional | $77.95 | $104.30 | $146.68 |