| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.31 | $67.31 | $67.31 | |
Anthem BCBS
| Professional | $57.31 | $58.07 | $198.00 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $49.22 | $49.22 | |
Martin's Point
| Professional | $45.57 | $67.31 | $87.52 | |
United
| Professional | $6.49 | $16.22 | $28.39 |