| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.72 | $200.00 | $244.00 |
Aetna
| Professional | 26 | $90.00 | $200.00 | $265.00 |
Anthem BCBS
| Professional | 26 | $27.30 | $32.14 | $39.00 |
Cigna
| Professional | 26 | $24.45 | $43.66 | $55.43 |
Hometown Health
| Professional | 26 | $25.76 | $38.39 | $47.80 |
Hometown Health
| Professional | 26 | $28.62 | $42.93 | $42.93 |
United
| Professional | 26 | $25.01 | $31.76 | $58.32 |