| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.05 | $83.75 | $86.45 | |
Anthem BCBS
| Professional | $67.93 | $83.28 | $104.33 | |
Martin's Point
| Professional | $78.05 | $83.75 | $86.45 | |
United
| Professional | $87.28 | $126.16 | $178.18 |