| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.71 | $255.71 | $338.00 | |
Aetna
| Professional | $255.71 | $274.14 | $304.70 | |
Anthem BCBS
| Professional | $192.81 | $258.47 | $268.80 | |
Cigna
| Professional | $22.70 | $22.70 | $22.70 | |
Martin's Point
| Facility | $255.71 | $255.71 | $338.00 | |
Martin's Point
| Professional | $255.71 | $272.07 | $304.70 |