| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.50 | $47.50 | $47.50 | |
Anthem BCBS
| Professional | $2.64 | $25.00 | $35.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $29.52 | $29.52 | $29.52 | |
Martin's Point
| Professional | $47.50 | $47.50 | $47.50 | |
United
| Professional | $50.00 | $72.50 | $106.61 |