| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.50 | $29.50 | $29.50 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Cigna
| Professional | $13.20 | $13.20 | $13.20 | |
Martin's Point
| Professional | $29.50 | $29.50 | $29.50 |