| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.40 | $56.40 | $57.55 | |
Aetna
| Professional | $18.00 | $44.42 | $57.55 | |
Anthem BCBS
| Professional | $41.96 | $41.96 | $65.73 | |
Cigna
| Facility | $39.47 | $39.47 | $48.77 | |
Cigna
| Professional | $33.56 | $33.56 | $48.77 | |
Hometown Health
| Professional | $36.54 | $49.30 | $103.85 | |
United
| Professional | $21.82 | $27.87 | $46.45 |