| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.50 | $236.96 | $314.64 | |
Aetna
| Professional | $79.87 | $111.25 | $278.13 | |
Anthem BCBS
| Facility | $63.50 | $142.63 | $178.29 | |
Anthem BCBS
| Professional | $5.92 | $5.92 | $86.29 | |
Cigna
| Facility | $92.71 | $166.88 | $516.39 | |
Cigna
| Professional | $114.10 | $173.80 | $208.23 | |
Hometown Health
| Professional | $35.65 | $142.63 | $149.76 | |
United
| Facility | $213.95 | $213.95 | $213.95 | |
United
| Professional | $59.90 | $59.90 | $189.24 |