| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.55 | $229.31 | $1,018.30 | |
Anthem BCBS
| Facility | $880.93 | $1,216.83 | $1,997.06 | |
Anthem BCBS
| Professional | $155.22 | $215.61 | $302.67 | |
Martin's Point
| Professional | $109.48 | $194.81 | $266.95 | |
United
| Professional | $174.67 | $256.19 | $404.95 |