| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.45 | $94.76 | $287.39 | |
Anthem BCBS
| Professional | $198.00 | $198.00 | $220.00 | |
Community Health Options
| Facility | $32.50 | $32.50 | $32.50 | |
Martin's Point
| Facility | $50.27 | $159.38 | $363.02 |