| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.16 | $104.80 | $127.03 | |
Aetna
| Professional | $55.16 | $55.16 | $60.13 | |
Anthem BCBS
| Facility | $50.47 | $57.92 | $175.96 | |
Anthem BCBS
| Professional | $55.16 | $55.16 | $55.16 | |
Cigna
| Facility | $54.58 | $55.16 | $55.16 | |
Cigna
| Professional | $16.71 | $55.16 | $55.16 | |
Hometown Health
| Professional | $46.89 | $59.85 | $64.20 | |
United
| Professional | $35.85 | $55.16 | $55.16 |