| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.49 | $103.53 | $160.47 | |
Aetna
| Professional | $48.73 | $54.49 | $60.66 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $60.91 | $64.56 | $64.56 | |
Cigna
| Professional | $56.85 | $56.85 | $84.30 | |
Hometown Health
| Professional | $60.66 | $73.09 | $100.00 | |
United
| Professional | $73.09 | $73.09 | $77.48 |