| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $72.44 | $331.13 | |
Aetna
| Professional | $33.11 | $40.74 | $72.44 | |
Anthem BCBS
| Facility | $19.50 | $36.31 | $104.71 | |
Anthem BCBS
| Professional | $21.38 | $21.38 | $72.44 | |
Cigna
| Facility | $28.84 | $51.29 | $131.83 | |
Cigna
| Professional | $21.88 | $52.48 | $64.57 | |
Hometown Health
| Professional | $13.49 | $43.65 | $66.07 | |
Hometown Health
| Professional | $14.79 | $14.79 | $14.79 | |
Select Health
| Professional | $43.65 | $43.65 | $43.65 | |
United
| Facility | $30.20 | $30.20 | $30.20 | |
United
| Professional | $18.20 | $25.12 | $58.88 |