| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.93 | $10.93 | $10.93 | |
Anthem BCBS
| Professional | $2.64 | $4.00 | $5.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $10.60 | $10.60 | $10.60 | |
Martin's Point
| Professional | $10.93 | $10.93 | $10.93 | |
United
| Professional | $22.68 | $34.79 | $48.96 |