| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.28 | $251.44 | $609.00 | |
Aetna
| Professional | $63.28 | $69.29 | $69.29 | |
Anthem BCBS
| Professional | $48.49 | $48.49 | $48.49 | |
Martin's Point
| Professional | $63.28 | $69.29 | $69.29 |