| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.28 | $35.28 | $35.28 | |
Anthem BCBS
| Professional | $35.28 | $35.28 | $44.19 | |
Cigna
| Professional | $14.86 | $14.86 | $14.86 | |
Martin's Point
| Professional | $35.28 | $35.28 | $36.34 |