| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.62 | $180.62 | $180.62 | |
Anthem BCBS
| Professional | $132.52 | $132.52 | $132.52 | |
Cigna
| Professional | $172.39 | $172.39 | $172.39 | |
Martin's Point
| Professional | $180.62 | $180.62 | $189.94 | |
United
| Professional | $168.33 | $211.14 | $473.90 |