| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.31 | $43.31 | $43.31 | |
Anthem BCBS
| Professional | $5.14 | $5.14 | $30.22 | |
Cigna
| Professional | $253.69 | $253.69 | $253.69 | |
Martin's Point
| Professional | $43.31 | $43.31 | $128.00 | |
United
| Professional | $22.68 | $22.68 | $57.10 |