| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.27 | $46.97 | $62.36 | |
Aetna
| Professional | $14.98 | $21.20 | $32.51 | |
Anthem BCBS
| Facility | $12.59 | $28.27 | $35.34 | |
Anthem BCBS
| Professional | $13.96 | $17.10 | $21.71 | |
Cigna
| Facility | $18.38 | $33.08 | $102.38 | |
Cigna
| Professional | $14.86 | $29.25 | $36.56 | |
Hometown Health
| Professional | $7.07 | $28.27 | $28.27 | |
Hometown Health
| Professional | $7.07 | $7.07 | $7.07 | |
United
| Professional | $11.87 | $14.66 | $28.27 |