| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.61 | $29.61 | $34.17 | |
Aetna
| Professional | $29.61 | $34.17 | $45.68 | |
Anthem BCBS
| Facility | $86.72 | $86.72 | $86.72 | |
Anthem BCBS
| Professional | $46.49 | $46.49 | $105.84 | |
Cigna
| Facility | $56.02 | $56.02 | $63.85 | |
Cigna
| Professional | $40.89 | $40.89 | $89.26 | |
Hometown Health
| Professional | $48.23 | $72.11 | $137.02 | |
United
| Professional | $31.01 | $39.60 | $57.97 |