| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.60 | $44.92 | $55.01 | |
Aetna
| Professional | $36.63 | $47.05 | $68.72 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $36.72 | $49.57 | $67.81 | |
Cigna
| Professional | $37.92 | $58.58 | $86.35 | |
Hometown Health
| Professional | $0.38 | $50.07 | $72.09 | |
Hometown Health
| Facility | $101.44 | $101.44 | $101.44 | |
Hometown Health
| Professional | $0.38 | $45.95 | $75.11 | |
United
| Professional | $46.30 | $61.92 | $95.44 |