| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $47.86 | $190.55 | |
Aetna
| Professional | $15.85 | $19.95 | $28.18 | |
Anthem BCBS
| Facility | $11.22 | $20.89 | $60.26 | |
Anthem BCBS
| Professional | $52.48 | $52.48 | $52.48 | |
Cigna
| Facility | $16.22 | $29.51 | $75.86 | |
Hometown Health
| Professional | $6.31 | $25.12 | $26.30 | |
Hometown Health
| Professional | $6.31 | $6.31 | $6.31 | |
Select Health
| Professional | $17.38 | $25.12 | $25.12 | |
United
| Professional | $10.47 | $11.75 | $27.54 |