| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $177.83 | $213.80 | |
Anthem BCBS
| Professional | $162.18 | $181.97 | $218.78 | |
Cigna
| Facility | $181.97 | $181.97 | $181.97 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 | |
Martin's Point
| Professional | $169.82 | $181.97 | $229.09 |