| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.28 | $176.28 | $204.84 | |
Anthem BCBS
| Professional | $165.80 | $203.28 | $329.37 | |
Cigna
| Professional | $149.69 | $149.69 | $149.69 | |
Martin's Point
| Professional | $176.28 | $198.64 | $307.48 | |
United
| Professional | $152.07 | $264.83 | $459.23 |