| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.40 | $203.05 | $269.61 | |
Aetna
| Professional | $68.44 | $95.33 | $785.88 | |
Anthem BCBS
| Facility | $54.41 | $122.22 | $152.78 | |
Anthem BCBS
| Professional | $60.36 | $60.36 | $174.28 | |
Cigna
| Facility | $79.44 | $142.99 | $442.48 | |
Cigna
| Professional | $75.41 | $84.50 | $178.33 | |
Hometown Health
| Professional | $30.56 | $30.56 | $128.33 | |
Hometown Health
| Professional | $30.56 | $30.56 | $30.56 | |
United
| Professional | $51.33 | $63.37 | $166.74 |