| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $51.29 | $58.88 | |
Aetna
| Professional | $43.65 | $54.95 | $70.79 | |
Anthem BCBS
| Professional | $1.58 | $61.66 | $104.71 | |
Cigna
| Professional | $52.48 | $70.79 | $104.71 | |
Hometown Health
| Professional | $0.45 | $0.45 | $0.72 | |
Hometown Health
| Professional | $0.45 | $0.45 | $0.45 | |
Select Health
| Professional | $48.98 | $70.79 | $81.28 | |
United
| Professional | $46.77 | $67.61 | $117.49 |