| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.28 | $211.72 | $281.12 | |
Aetna
| Professional | $71.36 | $99.40 | $819.38 | |
Anthem BCBS
| Facility | $56.73 | $127.43 | $159.29 | |
Anthem BCBS
| Professional | $54.99 | $54.99 | $171.82 | |
Cigna
| Facility | $82.83 | $149.09 | $461.36 | |
Cigna
| Professional | $64.73 | $155.41 | $416.63 | |
Hometown Health
| Professional | $37.97 | $37.97 | $133.80 | |
Hometown Health
| Professional | $37.97 | $37.97 | $37.97 | |
United
| Professional | $53.52 | $63.81 | $151.93 |