| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.00 | $177.26 | $177.26 | |
Anthem BCBS
| Professional | $156.41 | $166.84 | $177.26 | |
Cigna
| Facility | $177.26 | $177.26 | $177.26 | |
Cigna
| Professional | $177.26 | $177.26 | $177.26 | |
Martin's Point
| Professional | $177.26 | $177.26 | $177.26 |