| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.59 | $16.59 | $16.59 | |
Anthem BCBS
| Professional | $13.00 | $13.00 | $13.00 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Martin's Point
| Professional | $16.59 | $16.59 | $16.59 | |
United
| Professional | $32.38 | $32.38 | $56.67 |