| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.95 | $36.95 | $36.95 | |
Aetna
| Professional | $36.95 | $37.50 | $121.14 | |
Anthem BCBS
| Facility | $41.47 | $41.47 | $41.47 | |
Anthem BCBS
| Professional | $22.93 | $22.93 | $31.46 | |
Cigna
| Professional | $25.50 | $25.50 | $25.50 | |
Hometown Health
| Professional | $41.47 | $41.47 | $41.47 | |
United
| Professional | $20.90 | $37.43 | $59.06 |