| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.86 | $200.31 | $385.41 | |
Aetna
| Professional | $74.72 | $101.79 | $400.00 | |
Anthem BCBS
| Facility | $42.65 | $95.80 | $119.75 | |
Anthem BCBS
| Professional | $42.02 | $42.02 | $65.86 | |
Cigna
| Facility | $62.27 | $112.09 | $346.84 | |
Cigna
| Professional | $65.43 | $109.11 | $139.52 | |
Hometown Health
| Professional | $29.24 | $95.80 | $105.06 | |
Hometown Health
| Professional | $29.24 | $29.24 | $29.24 | |
United
| Professional | $40.24 | $50.30 | $127.50 |