| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.14 | $21.14 | $24.39 | |
Aetna
| Professional | $21.14 | $31.09 | $62.39 | |
Anthem BCBS
| Facility | $32.81 | $32.81 | $32.81 | |
Anthem BCBS
| Professional | $60.83 | $63.26 | $67.92 | |
Cigna
| Facility | $67.20 | $67.20 | $101.97 | |
Cigna
| Professional | $49.06 | $67.20 | $77.73 | |
Hometown Health
| Professional | $24.61 | $55.39 | $115.17 | |
United
| Professional | $34.54 | $51.83 | $86.38 |