| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.76 | $58.15 | $77.20 | |
Aetna
| Professional | $19.60 | $28.86 | $68.25 | |
Anthem BCBS
| Facility | $15.58 | $35.00 | $43.75 | |
Anthem BCBS
| Professional | $14.00 | $14.00 | $21.17 | |
Cigna
| Facility | $22.75 | $40.95 | $126.72 | |
Cigna
| Professional | $17.80 | $42.46 | $50.88 | |
Hometown Health
| Professional | $8.75 | $8.75 | $36.75 | |
Hometown Health
| Professional | $8.75 | $8.75 | $8.75 | |
United
| Facility | $52.50 | $52.50 | $52.50 | |
United
| Professional | $14.70 | $14.70 | $35.00 |