| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.24 | $39.24 | $45.28 | |
Aetna
| Professional | $39.24 | $40.17 | $53.85 | |
Anthem BCBS
| Facility | $114.91 | $114.91 | $114.91 | |
Anthem BCBS
| Professional | $50.47 | $52.41 | $114.91 | |
Cigna
| Facility | $53.85 | $53.85 | $84.59 | |
Cigna
| Professional | $39.31 | $39.31 | $116.25 | |
Hometown Health
| Professional | $63.90 | $95.54 | $181.56 | |
United
| Professional | $33.65 | $43.00 | $71.66 |