| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $532.44 | $532.44 | $532.44 | |
Anthem BCBS
| Professional | $441.90 | $532.29 | $532.29 | |
Cigna
| Facility | $255.74 | $255.74 | $614.12 | |
Cigna
| Professional | $56.76 | $255.74 | $515.29 | |
Martin's Point
| Professional | $421.96 | $532.44 | $532.44 | |
United
| Professional | $210.03 | $422.24 | $815.46 |