| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.92 | $3.92 | $4.23 | |
Aetna
| Professional | $1.43 | $1.44 | $2.80 | |
Anthem BCBS
| Professional | $1.62 | $1.62 | $198.00 | |
Cigna
| Facility | $1.44 | $1.44 | $1.69 | |
Cigna
| Professional | $1.44 | $1.44 | $1.44 | |
Martin's Point
| Facility | $3.92 | $3.92 | $4.23 | |
Martin's Point
| Professional | $1.43 | $1.44 | $2.80 | |
United
| Professional | $0.04 | $0.09 | $0.16 |