| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.30 | $26.30 | $26.30 | |
Aetna
| Professional | $25.70 | $25.70 | $25.70 | |
Anthem BCBS
| Professional | $5.37 | $7.24 | $7.24 | |
Cigna
| Professional | $144.54 | $144.54 | $144.54 | |
Martin's Point
| Professional | $25.70 | $25.70 | $25.70 |