| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.54 | $192.10 | $609.00 | |
Aetna
| Professional | $5.25 | $30.54 | $42.00 | |
Anthem BCBS
| Professional | $15.05 | $17.75 | $24.83 | |
Cigna
| Professional | $150.94 | $150.94 | $150.94 | |
Martin's Point
| Professional | $12.46 | $30.54 | $42.00 |