| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.98 | $92.27 | $122.52 | |
Aetna
| Professional | $41.66 | $43.32 | $357.12 | |
Anthem BCBS
| Facility | $24.73 | $55.54 | $69.43 | |
Anthem BCBS
| Professional | $22.22 | $28.76 | $40.76 | |
Cigna
| Facility | $36.10 | $64.98 | $201.08 | |
Cigna
| Professional | $37.94 | $64.02 | $80.02 | |
Hometown Health
| Professional | $13.89 | $55.54 | $58.32 | |
Hometown Health
| Professional | $13.89 | $13.89 | $13.89 | |
United
| Professional | $23.33 | $23.33 | $55.54 |