| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.47 | $26.47 | $26.47 | |
Anthem BCBS
| Professional | $2.64 | $5.00 | $5.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Martin's Point
| Professional | $26.47 | $26.47 | $26.47 | |
United
| Professional | $16.00 | $23.20 | $32.64 |