| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.90 | $48.90 | $125.54 | |
Aetna
| Professional | $48.90 | $67.91 | $125.54 | |
Anthem BCBS
| Facility | $150.91 | $150.91 | $150.91 | |
Anthem BCBS
| Professional | $82.96 | $92.90 | $184.18 | |
Cigna
| Facility | $100.03 | $100.03 | $111.10 | |
Cigna
| Professional | $73.02 | $97.88 | $106.64 | |
Hometown Health
| Professional | $83.92 | $125.49 | $217.32 | |
United
| Professional | $53.96 | $68.92 | $103.83 |