| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.43 | $87.43 | $87.43 | |
Aetna
| Professional | $84.19 | $87.43 | $125.20 | |
Anthem BCBS
| Professional | $90.00 | $90.00 | $90.00 | |
Cigna
| Professional | $103.70 | $122.40 | $202.00 | |
Martin's Point
| Professional | $84.95 | $87.43 | $125.20 |