| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.89 | $21.80 | $28.34 | |
Aetna
| Professional | $18.89 | $21.80 | $144.00 | |
Anthem BCBS
| Facility | $55.34 | $55.34 | $55.34 | |
Anthem BCBS
| Professional | $29.66 | $30.58 | $67.54 | |
Cigna
| Facility | $33.22 | $33.22 | $40.74 | |
Cigna
| Professional | $24.25 | $33.22 | $35.90 | |
Hometown Health
| Professional | $30.77 | $46.01 | $87.44 | |
United
| Professional | $19.79 | $25.27 | $42.12 |