| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $706.74 | $1,097.50 | $1,097.50 | |
Anthem BCBS
| Professional | $1,057.75 | $1,228.32 | $1,228.32 | |
Cigna
| Facility | $989.22 | $989.22 | $1,302.06 | |
Cigna
| Professional | $122.53 | $989.22 | $989.22 | |
Martin's Point
| Professional | $706.74 | $899.14 | $1,097.50 | |
United
| Professional | $523.91 | $779.89 | $1,683.19 |