| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.00 | $52.00 | $52.00 | |
Aetna
| Professional | $36.60 | $52.00 | $52.00 | |
Anthem BCBS
| Facility | $61.00 | $61.00 | $61.00 | |
Anthem BCBS
| Professional | $61.00 | $65.50 | $65.50 | |
Cigna
| Professional | $21.25 | $21.25 | $23.45 | |
Hometown Health
| Professional | $61.00 | $102.99 | $111.63 | |
United
| Professional | $23.69 | $35.53 | $59.22 |