| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $21.88 | $21.88 | |
Anthem BCBS
| Professional | $3.55 | $4.79 | $4.79 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 | |
Martin's Point
| Professional | $21.88 | $21.88 | $21.88 |