| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.04 | $344.42 | $457.32 | |
Aetna
| Professional | $116.09 | $161.69 | $1,333.00 | |
Anthem BCBS
| Facility | $92.29 | $207.31 | $259.14 | |
Anthem BCBS
| Professional | $102.38 | $102.38 | $125.42 | |
Cigna
| Facility | $134.75 | $242.55 | $750.56 | |
Cigna
| Professional | $105.35 | $252.60 | $1,183.07 | |
Hometown Health
| Professional | $107.85 | $107.85 | $207.31 | |
Hometown Health
| Professional | $107.85 | $107.85 | $107.85 | |
United
| Professional | $87.07 | $181.18 | $431.39 |