| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.84 | $204.73 | $271.00 | |
Aetna
| Professional | $204.73 | $223.13 | $248.50 | |
Anthem BCBS
| Professional | $155.61 | $207.49 | $215.78 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
Martin's Point
| Facility | $104.41 | $204.72 | $271.00 | |
Martin's Point
| Professional | $204.72 | $216.91 | $251.26 |