| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $16.30 | |
Aetna
| Professional | $16.30 | $16.30 | $59.76 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $14.84 | $14.84 | $24.00 | |
Cigna
| Facility | $13.99 | $13.99 | $13.99 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Hometown Health
| Professional | $0.15 | $14.84 | $190.00 | |
United
| Professional | $13.38 | $13.38 | $15.12 |