| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.83 | $49.83 | $49.83 | |
Anthem BCBS
| Professional | $53.64 | $53.64 | $53.64 | |
Cigna
| Professional | $47.91 | $47.91 | $47.91 | |
Martin's Point
| Professional | $49.83 | $49.83 | $51.17 | |
United
| Professional | $43.34 | $52.76 | $116.44 |