| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.81 | $99.68 | $1,313.40 | |
Aetna
| Professional | $34.57 | $37.29 | $47.81 | |
Anthem BCBS
| Facility | $21.29 | $47.81 | $59.76 | |
Anthem BCBS
| Professional | $23.61 | $28.92 | $36.71 | |
Cigna
| Facility | $31.08 | $55.94 | $173.12 | |
Cigna
| Professional | $30.43 | $54.93 | $68.66 | |
Hometown Health
| Professional | $0.34 | $47.81 | $65.12 | |
Hometown Health
| Professional | $65.12 | $65.12 | $65.12 | |
United
| Professional | $20.07 | $26.55 | $59.02 |