| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.11 | $15.11 | $15.11 | |
Aetna
| Professional | $15.11 | $16.42 | $49.79 | |
Anthem BCBS
| Facility | $17.25 | $17.25 | $17.25 | |
Anthem BCBS
| Professional | $0.10 | $7.40 | $7.40 | |
Cigna
| Professional | $10.19 | $10.19 | $126.59 | |
Hometown Health
| Professional | $0.11 | $0.11 | $17.25 | |
United
| Professional | $9.33 | $13.92 | $26.35 |