| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.12 | $18.12 | $19.53 | |
Aetna
| Professional | $6.64 | $6.64 | $7.12 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $4.82 | $4.82 | $5.67 | |
Cigna
| Professional | $4.82 | $4.82 | $4.82 | |
Martin's Point
| Facility | $18.12 | $18.12 | $19.53 | |
Martin's Point
| Professional | $6.64 | $6.64 | $19.53 | |
United
| Professional | $0.02 | $0.02 | $0.04 |