| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.10 | $175.68 | $175.68 | |
Anthem BCBS
| Professional | $164.86 | $200.00 | $200.00 | |
Cigna
| Facility | $147.10 | $147.10 | $147.10 | |
Cigna
| Professional | $107.38 | $125.04 | $147.10 | |
Martin's Point
| Professional | $22.32 | $160.94 | $175.68 | |
United
| Professional | $11.78 | $16.05 | $82.60 |