| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.99 | $394.55 | $1,727.99 | |
Aetna
| Professional | $31.00 | $143.87 | $186.99 | |
Anthem BCBS
| Professional | $141.50 | $170.49 | $278.75 | |
Cigna
| Facility | $120.44 | $203.39 | $670.85 | |
Cigna
| Professional | $25.80 | $25.80 | $52.58 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
Hometown Health
| Facility | $117.52 | $117.52 | $117.52 | |
United
| Professional | $126.20 | $194.16 | $353.37 |