| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.70 | $266.81 | $266.81 | |
Aetna
| Professional | $58.16 | $68.01 | $361.72 | |
Anthem BCBS
| Facility | $59.54 | $74.43 | $74.43 | |
Anthem BCBS
| Professional | $57.78 | $63.70 | $93.83 | |
Cigna
| Professional | $55.61 | $82.68 | $118.00 | |
Hometown Health
| Professional | $0.54 | $72.31 | $108.47 | |
Hometown Health
| Professional | $0.54 | $60.26 | $90.39 | |
United
| Professional | $58.26 | $65.88 | $120.42 |