| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.44 | $412.88 | $548.22 | |
Aetna
| Professional | $186.38 | $186.38 | $186.38 | |
Anthem BCBS
| Facility | $80.77 | $248.51 | $596.41 | |
Anthem BCBS
| Professional | $66.20 | $66.20 | $150.34 | |
Cigna
| Facility | $161.53 | $290.75 | $899.72 | |
Cigna
| Professional | $198.81 | $302.51 | $362.44 | |
Hometown Health
| Professional | $62.13 | $62.13 | $260.94 | |
Hometown Health
| Professional | $62.13 | $62.13 | $62.13 | |
United
| Professional | $104.37 | $104.37 | $248.51 |