| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.78 | $48.78 | $56.28 | |
Aetna
| Professional | $48.78 | $56.28 | $75.23 | |
Anthem BCBS
| Facility | $142.83 | $142.83 | $142.83 | |
Anthem BCBS
| Professional | $76.56 | $79.13 | $174.33 | |
Cigna
| Facility | $81.70 | $81.70 | $105.14 | |
Cigna
| Professional | $59.64 | $81.70 | $164.29 | |
Hometown Health
| Professional | $79.42 | $118.76 | $205.68 | |
United
| Professional | $51.07 | $65.23 | $95.43 |