| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.12 | $128.99 | $259.83 | |
Aetna
| Professional | $37.31 | $45.23 | $212.00 | |
Anthem BCBS
| Professional | $51.14 | $75.00 | $92.53 | |
Cigna
| Facility | $55.00 | $60.00 | $70.00 | |
Cigna
| Professional | $33.27 | $48.22 | $79.41 | |
Hometown Health
| Professional | $0.25 | $59.31 | $101.18 | |
Hometown Health
| Professional | $0.25 | $67.45 | $101.18 | |
United
| Professional | $49.60 | $60.27 | $93.98 |