| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.62 | $343.13 | $1,502.79 | |
Aetna
| Professional | $53.10 | $162.62 | $175.90 | |
Anthem BCBS
| Professional | $148.27 | $148.27 | $226.07 | |
Cigna
| Facility | $89.48 | $168.41 | $498.40 | |
Hometown Health
| Facility | $97.31 | $97.31 | $97.31 | |
United
| Facility | $182.03 | $182.03 | $182.03 | |
United
| Professional | $132.72 | $168.54 | $309.50 |