| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.76 | $0.76 | $0.90 | |
Anthem BCBS
| Professional | $0.53 | $0.53 | $99,999.99 | |
Martin's Point
| Professional | $0.76 | $0.76 | $0.90 | |
United
| Professional | $43.60 | $65.40 | $163.50 |