| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.19 | $68.81 | $70.20 | |
Anthem BCBS
| Professional | $13.63 | $26.64 | $39.64 | |
Cigna
| Facility | $68.81 | $68.81 | $68.81 | |
Cigna
| Professional | $68.81 | $68.81 | $68.81 | |
Martin's Point
| Professional | $68.81 | $68.81 | $68.81 |