| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.67 | $65.67 | $77.26 | |
Aetna
| Professional | $65.67 | $65.67 | $159.19 | |
Anthem BCBS
| Facility | $59.03 | $73.40 | $205.79 | |
Anthem BCBS
| Professional | $66.06 | $77.26 | $77.26 | |
Cigna
| Facility | $72.25 | $72.25 | $72.25 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
Hometown Health
| Professional | $65.67 | $65.67 | $190.00 | |
United
| Professional | $73.40 | $77.26 | $82.94 |