| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.62 | $81.02 | $182.94 | |
Aetna
| Professional | $14.40 | $26.80 | $81.73 | |
Anthem BCBS
| Professional | $25.94 | $54.58 | $75.00 | |
Cigna
| Facility | $55.00 | $60.00 | $70.00 | |
Cigna
| Professional | $22.26 | $47.31 | $113.94 | |
Hometown Health
| Professional | $0.37 | $41.97 | $76.94 | |
Hometown Health
| Professional | $0.37 | $46.07 | $69.11 | |
United
| Professional | $28.19 | $42.95 | $59.64 |