| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.98 | $23.15 | $37.63 | |
Anthem BCBS
| Professional | $22.00 | $22.00 | $22.00 | |
Cigna
| Facility | $115.00 | $115.00 | $115.00 | |
Cigna
| Professional | $50.59 | $50.59 | $50.59 | |
Martin's Point
| Professional | $2.98 | $23.15 | $37.63 |