| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.10 | $31.73 | $89.06 | |
Aetna
| Professional | $11.75 | $31.10 | $31.73 | |
Anthem BCBS
| Facility | $36.24 | $36.24 | $36.24 | |
Anthem BCBS
| Professional | $24.17 | $24.17 | $43.49 | |
Cigna
| Facility | $24.26 | $24.26 | $26.68 | |
Cigna
| Professional | $17.71 | $22.85 | $29.26 | |
Hometown Health
| Professional | $20.14 | $27.18 | $57.26 | |
United
| Professional | $12.74 | $16.27 | $27.12 |