| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $261.80 | $261.80 | $4,923.67 | |
Anthem BCBS
| Professional | $25.00 | $25.00 | $25.00 | |
Cigna
| Facility | $360.79 | $360.79 | $360.79 | |
Martin's Point
| Professional | $261.80 | $261.80 | $4,923.67 |