| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.26 | $174.26 | $182.86 | |
Anthem BCBS
| Professional | $57.50 | $57.50 | $57.50 | |
Cigna
| Professional | $48.00 | $179.84 | $179.84 | |
Martin's Point
| Professional | $174.26 | $174.26 | $398.15 | |
United
| Professional | $111.40 | $111.40 | $111.40 |