| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.75 | $0.75 | $24.50 | |
Anthem BCBS
| Professional | $1.27 | $1.29 | $99,999.99 | |
Cigna
| Facility | $1.10 | $1.10 | $1.10 | |
Cigna
| Professional | $1.10 | $1.10 | $1.10 | |
Martin's Point
| Professional | $0.75 | $0.75 | $24.50 | |
United
| Professional | $235.83 | $235.83 | $353.75 |