| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $820.58 | $820.58 | $820.58 | |
Anthem BCBS
| Professional | $744.13 | $857.22 | $857.22 | |
Cigna
| Facility | $359.59 | $359.59 | $359.59 | |
Cigna
| Professional | $94.09 | $305.64 | $359.59 | |
Martin's Point
| Professional | $535.58 | $535.58 | $820.58 | |
United
| Professional | $385.34 | $576.67 | $1,481.13 |