| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.27 | $175.27 | $175.27 | |
Aetna
| Professional | $175.27 | $1,456.81 | $1,456.81 | |
Anthem BCBS
| Professional | $22.54 | $29.22 | $29.22 | |
Cigna
| Professional | $7.60 | $7.60 | $455.44 | |
Martin's Point
| Professional | $175.27 | $304.95 | $1,456.81 |