| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.52 | $22.52 | $25.98 | |
Aetna
| Professional | $22.52 | $25.98 | $26.38 | |
Anthem BCBS
| Facility | $65.94 | $65.94 | $65.94 | |
Anthem BCBS
| Professional | $30.13 | $30.13 | $65.94 | |
Cigna
| Facility | $30.91 | $30.91 | $48.54 | |
Cigna
| Professional | $22.56 | $30.91 | $43.58 | |
Hometown Health
| Professional | $36.67 | $54.83 | $94.95 | |
United
| Professional | $19.32 | $24.67 | $41.12 |