| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.49 | $158.49 | $158.49 | |
Anthem BCBS
| Professional | $10.72 | $10.72 | $10.72 | |
Cigna
| Professional | $25.12 | $25.12 | $25.12 | |
Martin's Point
| Professional | $158.49 | $158.49 | $190.55 |