| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $22.91 | $37.15 | |
Anthem BCBS
| Professional | $18.62 | $21.88 | $25.70 | |
Cigna
| Facility | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $50.12 | $50.12 | $50.12 | |
Martin's Point
| Professional | $5.01 | $22.91 | $83.18 |