| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.40 | $104.40 | $104.40 | |
Anthem BCBS
| Professional | $112.22 | $112.22 | $112.22 | |
Cigna
| Facility | $140.40 | $140.40 | $140.40 | |
Cigna
| Professional | $140.40 | $140.40 | $140.40 | |
Martin's Point
| Professional | $104.40 | $104.40 | $104.40 |