| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $724.10 | $724.10 | $724.10 | |
Anthem BCBS
| Professional | $772.45 | $889.84 | $889.84 | |
Cigna
| Facility | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $97.68 | $450.00 | $450.00 | |
Martin's Point
| Professional | $508.48 | $508.48 | $724.10 | |
United
| Professional | $400.09 | $545.04 | $1,273.93 |