| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.01 | $76.62 | $91.94 | |
Aetna
| Professional | $70.68 | $78.45 | $436.00 | |
Anthem BCBS
| Facility | $73.27 | $91.59 | $91.59 | |
Anthem BCBS
| Professional | $71.75 | $79.09 | $107.08 | |
Cigna
| Professional | $67.45 | $95.62 | $142.02 | |
Hometown Health
| Professional | $0.63 | $89.50 | $134.24 | |
Hometown Health
| Professional | $0.63 | $74.58 | $111.87 | |
United
| Professional | $62.81 | $80.59 | $140.71 |