| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.25 | $330.00 | $496.50 | |
Aetna
| Professional | $22.74 | $38.00 | $453.66 | |
Anthem BCBS
| Professional | $214.20 | $262.26 | $436.32 | |
Cigna
| Professional | $250.00 | $343.50 | $461.20 | |
Hometown Health
| Professional | $291.12 | $390.00 | $615.84 | |
United
| Professional | $38.00 | $50.00 | $78.00 |