| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $57.00 | $79.34 | |
Aetna
| Professional | $28.91 | $30.00 | $30.72 | |
Anthem BCBS
| Facility | $27.45 | $31.50 | $95.70 | |
Anthem BCBS
| Professional | $28.91 | $30.72 | $30.72 | |
Cigna
| Facility | $30.72 | $30.72 | $30.72 | |
Cigna
| Professional | $26.82 | $30.72 | $30.72 | |
Hometown Health
| Professional | $30.00 | $36.14 | $100.00 | |
United
| Professional | $30.00 | $30.00 | $31.80 |