| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $102.33 | $398.11 | |
Aetna
| Professional | $34.67 | $42.66 | $52.48 | |
Anthem BCBS
| Facility | $23.44 | $44.67 | $125.89 | |
Anthem BCBS
| Professional | $5.01 | $31.62 | $40.74 | |
Cigna
| Facility | $33.88 | $61.66 | $158.49 | |
Cigna
| Professional | $60.26 | $60.26 | $75.86 | |
Hometown Health
| Professional | $52.48 | $52.48 | $85.11 | |
Select Health
| Professional | $52.48 | $52.48 | $52.48 | |
United
| Facility | $18.62 | $18.62 | $36.31 | |
United
| Professional | $22.39 | $31.62 | $52.48 |