| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.15 | $387.21 | $514.14 | |
Aetna
| Professional | $174.80 | $233.07 | $454.49 | |
Anthem BCBS
| Facility | $103.76 | $233.07 | $291.33 | |
Anthem BCBS
| Professional | $106.20 | $106.20 | $339.22 | |
Cigna
| Facility | $151.50 | $272.70 | $843.86 | |
Cigna
| Professional | $118.50 | $284.12 | $804.77 | |
Hometown Health
| Professional | $73.34 | $73.34 | $233.07 | |
Hometown Health
| Professional | $73.34 | $73.34 | $73.34 | |
United
| Professional | $97.89 | $123.22 | $293.38 |