| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.74 | $29.74 | $37.17 | |
Anthem BCBS
| Professional | $350.00 | $350.00 | $350.00 | |
Cigna
| Professional | $872.98 | $872.98 | $872.98 | |
Martin's Point
| Professional | $29.74 | $29.74 | $37.17 |