| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.44 | $30.44 | $40.00 | |
Aetna
| Professional | $30.44 | $32.85 | $37.65 | |
Anthem BCBS
| Professional | $27.35 | $30.94 | $35.43 | |
Cigna
| Professional | $21.90 | $21.90 | $21.90 | |
Martin's Point
| Facility | $40.00 | $40.00 | $40.00 | |
Martin's Point
| Professional | $30.44 | $32.45 | $37.65 |