| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $868.25 | $868.25 | $868.25 | |
Anthem BCBS
| Professional | $694.20 | $907.09 | $907.09 | |
Cigna
| Facility | $999.36 | $999.36 | $999.36 | |
Cigna
| Professional | $99.55 | $999.36 | $999.36 | |
Martin's Point
| Professional | $571.37 | $571.37 | $868.25 | |
United
| Professional | $406.75 | $610.13 | $1,566.83 |