| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $202.33 | $202.33 | $202.33 | |
Anthem BCBS
| Professional | $357.47 | $357.47 | $357.50 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $180.13 | $307.80 | |
Martin's Point
| Professional | $202.33 | $202.33 | $287.22 |