| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $625.67 | $625.67 | $625.67 | |
Anthem BCBS
| Professional | $610.79 | $688.06 | $688.06 | |
Cigna
| Professional | $75.52 | $75.52 | $766.82 | |
Martin's Point
| Professional | $403.26 | $403.26 | $625.67 | |
United
| Professional | $309.26 | $666.06 | $1,188.93 |