| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.47 | $159.12 | $212.00 | |
Aetna
| Professional | $159.12 | $176.39 | $196.83 | |
Anthem BCBS
| Professional | $121.28 | $161.71 | $168.17 | |
Cigna
| Professional | $45.05 | $45.05 | $45.05 | |
Martin's Point
| Facility | $95.47 | $159.12 | $212.00 | |
Martin's Point
| Professional | $159.12 | $169.56 | $199.21 |