| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.11 | $190.12 | $6,008.29 | |
Aetna
| Professional | $85.82 | $89.26 | $6,008.29 | |
Anthem BCBS
| Facility | $37.19 | $114.43 | $274.63 | |
Anthem BCBS
| Professional | $31.92 | $59.27 | $83.99 | |
Cigna
| Facility | $74.38 | $133.88 | $185.95 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
Hometown Health
| Professional | $114.43 | $114.43 | $120.15 | |
United
| Professional | $48.06 | $68.66 | $114.43 |