| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.80 | $2.39 | $175.87 | |
Anthem BCBS
| Professional | $59.00 | $59.00 | $59.00 | |
Martin's Point
| Professional | $0.80 | $14.46 | $175.87 | |
United
| Professional | $38.04 | $38.04 | $38.04 |