| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $628.34 | $628.34 | $628.34 | |
Anthem BCBS
| Professional | $618.75 | $712.79 | $712.79 | |
Cigna
| Facility | $134.00 | $134.00 | $134.00 | |
Cigna
| Professional | $78.23 | $134.00 | $134.00 | |
Martin's Point
| Professional | $479.19 | $479.19 | $628.34 | |
United
| Professional | $319.62 | $479.42 | $1,231.49 |