| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.23 | $78.51 | $104.25 | |
Aetna
| Professional | $32.50 | $35.75 | $54.34 | |
Anthem BCBS
| Facility | $21.04 | $47.25 | $59.06 | |
Anthem BCBS
| Professional | $18.89 | $18.89 | $113.40 | |
Cigna
| Facility | $30.71 | $55.28 | $171.05 | |
Cigna
| Professional | $23.97 | $57.35 | $191.42 | |
Hometown Health
| Professional | $11.81 | $11.81 | $49.61 | |
Hometown Health
| Professional | $11.81 | $11.81 | $11.81 | |
United
| Facility | $70.88 | $70.88 | $70.88 | |
United
| Professional | $19.85 | $19.85 | $47.25 |