| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.54 | $360.55 | $408.56 | |
Aetna
| Professional | $4.86 | $6.67 | $258.70 | |
Anthem BCBS
| Facility | $4.45 | $5.09 | $15.50 | |
Anthem BCBS
| Professional | $4.86 | $4.86 | $4.97 | |
Cigna
| Facility | $4.86 | $4.86 | $4.86 | |
Cigna
| Professional | $4.86 | $4.86 | $4.86 | |
Hometown Health
| Professional | $4.86 | $5.27 | $12.37 | |
United
| Professional | $4.86 | $4.86 | $4.86 |