| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.70 | $19.38 | $19.38 | |
Anthem BCBS
| Professional | $19.00 | $19.38 | $19.38 | |
Cigna
| Facility | $19.38 | $19.38 | $19.38 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
Martin's Point
| Professional | $19.38 | $19.38 | $19.38 |