| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.20 | $332.28 | $441.20 | |
Aetna
| Professional | $112.00 | $156.00 | $390.00 | |
Anthem BCBS
| Facility | $65.00 | $200.00 | $480.00 | |
Anthem BCBS
| Professional | $13.28 | $13.28 | $121.00 | |
Cigna
| Facility | $130.00 | $234.00 | $724.10 | |
Cigna
| Professional | $243.41 | $243.41 | $291.63 | |
Hometown Health
| Professional | $50.00 | $200.00 | $210.00 | |
United
| Professional | $84.00 | $84.00 | $200.00 |