| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.94 | $323.70 | $323.70 | |
Anthem BCBS
| Professional | $200.00 | $200.00 | $280.10 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $66.81 | $66.81 | $66.81 | |
Martin's Point
| Professional | $160.94 | $296.10 | $323.70 | |
United
| Professional | $14.84 | $24.67 | $41.12 |