| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.35 | $16.35 | $18.86 | |
Aetna
| Professional | $16.35 | $18.86 | $20.43 | |
Anthem BCBS
| Facility | $47.87 | $47.87 | $47.87 | |
Anthem BCBS
| Professional | $25.67 | $26.70 | $58.41 | |
Cigna
| Facility | $27.38 | $27.38 | $35.24 | |
Cigna
| Professional | $12.40 | $19.98 | $31.05 | |
Hometown Health
| Professional | $26.61 | $39.81 | $75.63 | |
United
| Professional | $17.11 | $21.86 | $31.99 |