| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.52 | $49.52 | $50.53 | |
Aetna
| Professional | $28.30 | $42.15 | $50.53 | |
Anthem BCBS
| Professional | $66.00 | $80.00 | $80.00 | |
Cigna
| Professional | $31.73 | $31.73 | $31.73 | |
Hometown Health
| Professional | $47.98 | $91.18 | $105.61 | |
United
| Professional | $20.64 | $26.35 | $44.76 |