| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.12 | $71.12 | $71.12 | |
Aetna
| Professional | $20.00 | $71.12 | $71.12 | |
Anthem BCBS
| Professional | $68.44 | $69.20 | $69.20 | |
Cigna
| Professional | $73.00 | $73.00 | $130.09 | |
Martin's Point
| Professional | $20.00 | $71.12 | $71.12 |