| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.00 | $160.00 | $160.00 | |
Aetna
| Professional | $111.04 | $160.00 | $360.00 | |
Anthem BCBS
| Professional | $23.50 | $25.63 | $32.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Martin's Point
| Professional | $111.04 | $160.00 | $360.00 |