| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $22.91 | $22.91 | |
Anthem BCBS
| Professional | $16.60 | $21.88 | $21.88 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
Martin's Point
| Professional | $22.91 | $22.91 | $22.91 |