| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.04 | $2,053.52 | $2,053.52 | |
Aetna
| Professional | $84.16 | $96.12 | $491.00 | |
Anthem BCBS
| Facility | $86.57 | $108.21 | $108.21 | |
Anthem BCBS
| Professional | $83.50 | $95.47 | $133.28 | |
Cigna
| Professional | $82.05 | $121.66 | $222.55 | |
Hometown Health
| Professional | $0.88 | $105.88 | $158.81 | |
Hometown Health
| Professional | $0.88 | $88.23 | $132.35 | |
United
| Professional | $75.03 | $93.47 | $160.09 |