| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $917.98 | $993.59 | $1,060.57 | |
Anthem BCBS
| Facility | $561.60 | $561.60 | $561.60 | |
Anthem BCBS
| Professional | $54.03 | $77.29 | $107.00 | |
Martin's Point
| Professional | $264.00 | $917.98 | $1,060.57 |