| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.57 | $21.15 | $82.70 | |
Aetna
| Professional | $17.53 | $23.26 | $67.12 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $16.63 | $21.71 | $50.00 | |
Cigna
| Professional | $19.57 | $29.37 | $71.73 | |
Hometown Health
| Professional | $0.25 | $22.48 | $60.24 | |
Hometown Health
| Facility | $142.46 | $142.46 | $142.46 | |
Hometown Health
| Professional | $0.25 | $17.96 | $29.33 | |
United
| Professional | $18.98 | $30.84 | $68.90 |