| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
Anthem BCBS
| Professional | $15.00 | $15.00 | $15.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $15.24 | $15.24 | $15.24 | |
Martin's Point
| Professional | $6.00 | $6.00 | $6.00 |