| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.30 | $31.30 | $36.11 | |
Aetna
| Professional | $27.84 | $31.30 | $48.27 | |
Anthem BCBS
| Facility | $91.65 | $91.65 | $91.65 | |
Anthem BCBS
| Professional | $49.14 | $50.86 | $111.88 | |
Cigna
| Facility | $58.60 | $58.60 | $67.47 | |
Cigna
| Professional | $42.78 | $55.61 | $62.47 | |
Hometown Health
| Professional | $50.97 | $76.20 | $131.97 | |
United
| Professional | $32.78 | $41.86 | $61.25 |