| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.50 | $247.49 | $328.61 | |
Aetna
| Professional | $111.72 | $111.72 | $140.69 | |
Anthem BCBS
| Facility | $88.48 | $166.94 | $218.08 | |
Anthem BCBS
| Professional | $45.77 | $45.77 | $182.90 | |
Cigna
| Facility | $96.82 | $192.76 | $539.29 | |
Cigna
| Professional | $96.83 | $242.09 | $290.05 | |
Hometown Health
| Professional | $37.24 | $37.24 | $208.68 | |
Hometown Health
| Professional | $37.24 | $37.24 | $37.24 | |
United
| Professional | $62.56 | $69.52 | $165.52 |