| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.59 | $159.33 | $187.45 | |
Anthem BCBS
| Professional | $193.42 | $193.42 | $193.42 | |
Cigna
| Professional | $391.29 | $391.29 | $391.29 | |
Martin's Point
| Professional | $140.59 | $159.46 | $193.72 | |
United
| Professional | $135.51 | $174.36 | $397.32 |