| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.54 | $91.87 | $402.36 | |
Aetna
| Professional | $43.54 | $43.54 | $48.51 | |
Anthem BCBS
| Professional | $39.68 | $39.68 | $338.96 | |
Cigna
| Facility | $120.44 | $203.39 | $670.85 | |
Hometown Health
| Facility | $117.52 | $117.52 | $117.52 | |
United
| Professional | $37.94 | $46.67 | $82.84 |