| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.89 | $321.08 | $426.32 | |
Aetna
| Professional | $108.22 | $150.74 | $376.84 | |
Anthem BCBS
| Facility | $86.03 | $193.25 | $241.56 | |
Anthem BCBS
| Professional | $77.30 | $77.30 | $116.91 | |
Cigna
| Facility | $125.61 | $226.10 | $699.65 | |
Cigna
| Professional | $99.71 | $109.70 | $281.66 | |
Hometown Health
| Professional | $48.31 | $48.31 | $193.25 | |
Hometown Health
| Professional | $48.31 | $48.31 | $48.31 | |
United
| Facility | $289.88 | $289.88 | $289.88 | |
United
| Professional | $81.17 | $81.17 | $197.48 |