| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.06 | $336.06 | $336.06 | |
Anthem BCBS
| Professional | $108.50 | $108.50 | $467.65 | |
Martin's Point
| Professional | $336.06 | $336.06 | $336.06 | |
United
| Professional | $371.40 | $388.00 | $1,000.40 |