| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.08 | $114.15 | $158.93 | |
Aetna
| Professional | $57.90 | $60.08 | $61.52 | |
Anthem BCBS
| Facility | $55.19 | $63.34 | $192.42 | |
Anthem BCBS
| Professional | $60.32 | $101.24 | $101.24 | |
Cigna
| Facility | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Hometown Health
| Professional | $61.52 | $61.52 | $72.38 | |
United
| Professional | $60.32 | $60.32 | $60.32 |