| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.36 | $16.36 | $18.88 | |
Aetna
| Professional | $16.36 | $18.88 | $42.09 | |
Anthem BCBS
| Facility | $27.95 | $27.95 | $27.95 | |
Anthem BCBS
| Professional | $52.91 | $54.36 | $57.44 | |
Cigna
| Facility | $57.67 | $57.67 | $72.64 | |
Cigna
| Professional | $42.10 | $42.10 | $72.00 | |
Hometown Health
| Professional | $20.96 | $47.03 | $82.04 | |
United
| Professional | $28.15 | $45.05 | $65.92 |