| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $145.94 | $151.27 | $151.27 | |
Anthem BCBS
| Professional | $23.73 | $77.05 | $77.05 | |
Cigna
| Facility | $151.27 | $151.27 | $151.27 | |
Cigna
| Professional | $151.27 | $151.27 | $151.27 | |
Martin's Point
| Professional | $151.27 | $151.27 | $151.27 | |
United
| Professional | $161.79 | $161.79 | $283.13 |