| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.00 | $40.00 | $40.00 | |
Anthem BCBS
| Professional | $126.41 | $126.41 | $126.41 | |
Cigna
| Professional | $229.47 | $229.47 | $229.47 | |
Martin's Point
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $1,009.05 | $1,009.05 | $1,009.05 |