| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.68 | $28.52 | $28.52 | |
Anthem BCBS
| Professional | $2.00 | $3.01 | $4.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1,426.43 | $1,426.43 | $1,426.43 | |
Martin's Point
| Professional | $11.68 | $28.52 | $28.52 |