| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.99 | $78.09 | $103.68 | |
Aetna
| Professional | $26.32 | $36.65 | $91.65 | |
Anthem BCBS
| Facility | $15.28 | $47.00 | $112.80 | |
Anthem BCBS
| Professional | $28.43 | $54.80 | $55.34 | |
Cigna
| Facility | $30.55 | $54.99 | $170.16 | |
Cigna
| Professional | $57.35 | $57.35 | $68.70 | |
Hometown Health
| Professional | $11.75 | $47.00 | $49.35 | |
United
| Professional | $19.73 | $19.73 | $47.00 |