| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $785.81 | $785.81 | $785.81 | |
Anthem BCBS
| Professional | $838.37 | $965.78 | $965.78 | |
Cigna
| Facility | $707.88 | $707.88 | $707.88 | |
Cigna
| Professional | $109.53 | $707.88 | $707.88 | |
Martin's Point
| Professional | $551.82 | $551.82 | $785.81 | |
United
| Professional | $434.08 | $649.70 | $1,668.07 |