| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.38 | $147.38 | $158.83 | |
Aetna
| Professional | $54.00 | $54.00 | $54.00 | |
Anthem BCBS
| Facility | $54.31 | $68.17 | $177.84 | |
Anthem BCBS
| Professional | $54.00 | $54.00 | $54.00 | |
Cigna
| Facility | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $54.00 | $54.00 | $54.00 | |
Martin's Point
| Facility | $147.38 | $147.38 | $158.83 | |
Martin's Point
| Professional | $54.00 | $54.00 | $158.83 | |
United
| Professional | $36.79 | $52.94 | $76.76 |