| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Anthem BCBS
| Professional | $2.00 | $2.00 | $2.72 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Martin's Point
| Professional | $2.00 | $2.00 | $2.00 | |
United
| Professional | $23.43 | $35.08 | $74.55 |