| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.25 | $550.00 | $827.50 | |
Aetna
| Professional | $21.25 | $38.00 | $756.10 | |
Anthem BCBS
| Professional | $357.00 | $437.10 | $727.20 | |
Cigna
| Professional | $450.00 | $618.29 | $830.16 | |
Hometown Health
| Professional | $350.00 | $650.00 | $1,026.40 | |
United
| Professional | $38.00 | $50.00 | $78.00 |