| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.08 | $75.08 | $150.40 | |
Anthem BCBS
| Professional | $39.79 | $50.45 | $67.55 | |
Martin's Point
| Professional | $75.08 | $75.08 | $150.40 | |
United
| Professional | $22.57 | $33.38 | $71.88 |