| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.58 | $52.50 | $1,453.06 | |
Aetna
| Professional | $23.70 | $24.65 | $1,453.06 | |
Anthem BCBS
| Facility | $10.27 | $31.60 | $75.84 | |
Anthem BCBS
| Professional | $4.41 | $5.51 | $23.19 | |
Cigna
| Facility | $20.54 | $36.97 | $51.35 | |
Cigna
| Professional | $36.34 | $36.34 | $45.43 | |
Hometown Health
| Professional | $31.60 | $31.60 | $33.18 | |
United
| Professional | $13.27 | $13.27 | $31.60 |