| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.47 | $34.47 | $39.77 | |
Aetna
| Professional | $34.47 | $39.77 | $72.00 | |
Anthem BCBS
| Facility | $58.82 | $58.82 | $58.82 | |
Anthem BCBS
| Professional | $39.00 | $39.00 | $120.89 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $52.17 | $157.15 | |
Hometown Health
| Professional | $41.17 | $60.40 | $173.03 | |
United
| Professional | $44.12 | $95.03 | $156.97 |