| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $74.13 | $204.17 | |
Anthem BCBS
| Professional | $39.81 | $50.12 | $67.61 | |
Cigna
| Professional | $39.81 | $57.54 | $102.33 | |
Martin's Point
| Professional | $39.81 | $117.49 | $204.17 |