| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.91 | $294.49 | $391.03 | |
Aetna
| Professional | $99.26 | $138.26 | $1,139.72 | |
Anthem BCBS
| Facility | $78.91 | $177.25 | $221.56 | |
Anthem BCBS
| Professional | $87.53 | $87.53 | $152.56 | |
Cigna
| Facility | $115.21 | $207.38 | $641.72 | |
Cigna
| Professional | $90.04 | $215.83 | $663.27 | |
Hometown Health
| Professional | $60.45 | $60.45 | $186.11 | |
Hometown Health
| Professional | $60.45 | $60.45 | $60.45 | |
United
| Professional | $74.45 | $101.56 | $241.81 |