| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.97 | $25.97 | $25.97 | |
Anthem BCBS
| Professional | $5.14 | $5.14 | $11.34 | |
Cigna
| Professional | $24.84 | $24.84 | $24.84 | |
Martin's Point
| Professional | $25.97 | $25.97 | $82.20 | |
United
| Professional | $8.50 | $8.50 | $21.42 |