| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.65 | $72.16 | $95.82 | |
Aetna
| Professional | $32.57 | $33.88 | $33.88 | |
Anthem BCBS
| Facility | $14.11 | $43.43 | $104.23 | |
Anthem BCBS
| Professional | $4.59 | $4.59 | $26.27 | |
Cigna
| Facility | $28.23 | $50.81 | $157.24 | |
Cigna
| Professional | $52.97 | $52.97 | $63.47 | |
Hometown Health
| Professional | $10.86 | $43.43 | $45.60 | |
United
| Professional | $18.23 | $18.23 | $45.60 |