| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $702.20 | $702.20 | $1,693.40 | |
Anthem BCBS
| Professional | $250.00 | $250.00 | $250.00 | |
Cigna
| Facility | $648.23 | $648.23 | $648.23 | |
Martin's Point
| Professional | $702.20 | $702.20 | $1,693.40 |