| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $861.77 | $861.77 | $861.77 | |
Anthem BCBS
| Professional | $781.38 | $900.13 | $900.13 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $98.81 | $200.00 | $200.00 | |
Martin's Point
| Professional | $579.04 | $579.04 | $861.77 | |
United
| Professional | $403.69 | $605.53 | $1,555.33 |