| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $10.96 | $15.85 | $21.88 | |
Anthem BCBS
| Professional | $12.02 | $19.05 | $125.89 | |
Cigna
| Professional | $10.96 | $12.02 | $12.88 | |
Hometown Health
| Professional | $22.39 | $31.62 | $47.86 | |
Select Health
| Professional | $26.92 | $27.54 | $27.54 | |
United
| Professional | $8.91 | $13.80 | $27.54 |