| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.08 | $115.51 | $153.37 | |
Aetna
| Professional | $34.75 | $71.26 | $72.33 | |
Anthem BCBS
| Facility | $30.95 | $69.52 | $86.90 | |
Anthem BCBS
| Professional | $27.81 | $42.05 | $51.02 | |
Cigna
| Facility | $45.19 | $81.34 | $251.71 | |
Cigna
| Professional | $40.67 | $80.12 | $100.15 | |
Hometown Health
| Professional | $17.38 | $69.52 | $73.00 | |
Hometown Health
| Professional | $17.38 | $17.38 | $17.38 | |
United
| Professional | $29.20 | $29.20 | $69.52 |