| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.28 | $42.28 | $113.01 | |
Aetna
| Professional | $42.28 | $42.28 | $42.28 | |
Anthem BCBS
| Facility | $13.74 | $42.22 | $101.47 | |
Anthem BCBS
| Professional | $7.24 | $21.90 | $31.03 | |
Cigna
| Facility | $29.04 | $29.33 | $49.46 | |
Cigna
| Professional | $48.57 | $48.57 | $60.71 | |
Hometown Health
| Professional | $42.28 | $42.28 | $44.39 | |
United
| Professional | $16.72 | $18.72 | $42.22 |