| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $386.51 | $404.13 | $625.00 | |
Anthem BCBS
| Professional | $350.00 | $350.00 | $350.00 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Martin's Point
| Professional | $386.51 | $404.13 | $625.00 |