| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.30 | $28.11 | $51.31 | |
Anthem BCBS
| Professional | $52.05 | $67.55 | $72.79 | |
Cigna
| Facility | $35.54 | $35.54 | $74.12 | |
Cigna
| Professional | $30.22 | $35.54 | $103.13 | |
Hometown Health
| Professional | $74.78 | $74.78 | $74.78 | |
United
| Professional | $28.67 | $39.40 | $65.66 |