| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.69 | $149.55 | $149.55 | |
Anthem BCBS
| Professional | $121.29 | $148.84 | $240.99 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Martin's Point
| Professional | $129.69 | $149.55 | $259.44 | |
United
| Professional | $136.41 | $206.15 | $358.06 |