| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.75 | $48.75 | $48.75 | |
Aetna
| Professional | $48.75 | $48.75 | $122.46 | |
Anthem BCBS
| Professional | $52.90 | $69.58 | $276.77 | |
Cigna
| Professional | $422.08 | $592.14 | $751.00 |
Phys/Qhp Direction Emergency Medical Systems
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.75 | $48.75 | $48.75 | |
Aetna
| Professional | $48.75 | $48.75 | $122.46 | |
Anthem BCBS
| Professional | $52.90 | $69.58 | $276.77 | |
Cigna
| Professional | $422.08 | $592.14 | $751.00 |