| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.42 | $401.89 | $533.63 | |
Aetna
| Professional | $135.46 | $188.68 | $1,555.42 | |
Anthem BCBS
| Facility | $107.69 | $241.90 | $302.38 | |
Anthem BCBS
| Professional | $119.46 | $119.46 | $344.93 | |
Cigna
| Facility | $157.24 | $283.02 | $875.83 | |
Cigna
| Professional | $149.38 | $167.24 | $353.00 | |
Hometown Health
| Professional | $60.48 | $60.48 | $241.90 | |
Hometown Health
| Professional | $60.48 | $60.48 | $60.48 | |
United
| Professional | $101.60 | $125.43 | $330.01 |