| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.67 | $57.67 | $57.67 | |
Anthem BCBS
| Professional | $16.37 | $89.00 | $89.00 | |
Martin's Point
| Professional | $57.67 | $57.67 | $57.67 | |
United
| Professional | $41.94 | $62.92 | $152.05 |