| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $63.00 | $72.69 | |
Aetna
| Professional | $59.42 | $63.00 | $73.79 | |
Anthem BCBS
| Facility | $184.47 | $184.47 | $184.47 | |
Anthem BCBS
| Professional | $85.01 | $85.01 | $193.57 | |
Cigna
| Facility | $100.43 | $100.43 | $135.79 | |
Cigna
| Professional | $73.31 | $100.43 | $121.92 | |
Hometown Health
| Professional | $102.58 | $153.38 | $265.64 | |
United
| Professional | $56.71 | $72.43 | $120.71 |