| 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 | $53.96 | |
Anthem BCBS
| Facility | $114.91 | $114.91 | $114.91 | |
Anthem BCBS
| Professional | $50.59 | $57.81 | $114.91 | |
Cigna
| Facility | $53.85 | $53.85 | $53.85 | |
Cigna
| Professional | $39.31 | $53.85 | $58.75 | |
Hometown Health
| Professional | $63.90 | $95.54 | $165.47 | |
United
| Professional | $33.65 | $43.00 | $71.94 |