| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.96 | $39.96 | $46.11 | |
Aetna
| Professional | $39.96 | $53.29 | $72.31 | |
Anthem BCBS
| Facility | $62.23 | $62.23 | $62.23 | |
Anthem BCBS
| Professional | $114.66 | $119.07 | $129.25 | |
Cigna
| Facility | $133.72 | $133.72 | $192.19 | |
Cigna
| Professional | $97.62 | $123.94 | $142.55 | |
Hometown Health
| Professional | $46.67 | $105.06 | $217.07 | |
United
| Professional | $65.12 | $97.68 | $162.80 |