| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.82 | $66.40 | $175.35 | |
Aetna
| Professional | $11.22 | $12.84 | $14.38 | |
Anthem BCBS
| Facility | $6.40 | $14.38 | $17.98 | |
Anthem BCBS
| Professional | $7.10 | $8.69 | $11.04 | |
Cigna
| Facility | $9.35 | $16.82 | $52.08 | |
Cigna
| Professional | $10.80 | $16.52 | $20.65 | |
Hometown Health
| Professional | $0.15 | $14.38 | $15.10 | |
Hometown Health
| Professional | $4.12 | $4.12 | $4.12 | |
United
| Facility | $21.57 | $21.57 | $21.57 | |
United
| Professional | $6.04 | $8.44 | $20.10 |