| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $483.76 | $483.76 | $483.76 | |
Anthem BCBS
| Professional | $416.50 | $416.53 | $449.82 | |
Cigna
| Facility | $128.00 | $128.00 | $128.00 | |
Cigna
| Professional | $108.80 | $128.00 | $128.00 | |
Martin's Point
| Professional | $358.24 | $358.24 | $483.76 | |
United
| Professional | $268.76 | $474.32 | $1,068.71 |