| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.02 | $388.77 | $516.20 | |
Aetna
| Professional | $131.04 | $182.52 | $1,504.62 | |
Anthem BCBS
| Facility | $104.18 | $234.00 | $292.50 | |
Anthem BCBS
| Professional | $93.60 | $93.60 | $141.57 | |
Cigna
| Facility | $152.10 | $273.77 | $847.20 | |
Cigna
| Professional | $28.37 | $284.99 | $341.46 | |
Hometown Health
| Professional | $58.50 | $58.50 | $234.00 | |
Hometown Health
| Professional | $58.50 | $58.50 | $58.50 | |
United
| Facility | $351.00 | $351.00 | $351.00 | |
United
| Professional | $98.28 | $98.28 | $234.00 |