| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.81 | $182.24 | $182.24 | |
Anthem BCBS
| Professional | $182.24 | $182.24 | $192.96 | |
Cigna
| Facility | $182.24 | $182.24 | $182.24 | |
Cigna
| Professional | $182.24 | $182.24 | $182.24 | |
Martin's Point
| Professional | $182.24 | $182.24 | $182.24 |