| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $517.34 | $517.34 | $517.34 | |
Anthem BCBS
| Professional | $611.08 | $611.08 | $659.97 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $170.00 | $200.00 | $200.00 | |
Martin's Point
| Professional | $383.11 | $383.11 | $517.34 | |
United
| Professional | $338.17 | $640.29 | $1,142.91 |