| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.86 | $1,639.00 | $4,396.00 | |
Aetna
| Professional | $21.26 | $29.26 | $38.97 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $19.95 | $30.02 | $46.67 | |
Cigna
| Professional | $20.53 | $31.47 | $49.03 | |
Hometown Health
| Professional | $19.48 | $32.71 | $51.04 | |
Hometown Health
| Professional | $0.36 | $21.66 | $50.04 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $31.36 | $39.40 | $1,286.00 |