| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.50 | $41.71 | $55.38 | |
Aetna
| Professional | $18.82 | $19.57 | $28.87 | |
Anthem BCBS
| Facility | $11.17 | $25.10 | $31.38 | |
Anthem BCBS
| Professional | $52.84 | $52.84 | $52.84 | |
Cigna
| Facility | $16.32 | $29.38 | $90.90 | |
Hometown Health
| Professional | $6.28 | $6.28 | $25.10 | |
Hometown Health
| Professional | $6.28 | $6.28 | $6.28 | |
United
| Facility | $37.65 | $37.65 | $37.65 | |
United
| Professional | $10.54 | $11.70 | $25.10 |