| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $25.34 | |
Cigna
| Professional | $19.32 | $19.32 | $38.13 | |
Martin's Point
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $188.65 | $188.65 | $188.65 |