| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.74 | $487.73 | $756.10 | |
Aetna
| Professional | $33.14 | $61.44 | $506.49 | |
Anthem BCBS
| Facility | $35.07 | $78.77 | $98.46 | |
Anthem BCBS
| Professional | $31.51 | $40.79 | $57.81 | |
Cigna
| Facility | $51.20 | $92.16 | $285.18 | |
Cigna
| Professional | $21.82 | $90.86 | $113.58 | |
Hometown Health
| Professional | $0.25 | $78.77 | $82.71 | |
Hometown Health
| Professional | $9.75 | $9.75 | $9.75 | |
United
| Facility | $118.16 | $118.16 | $118.16 | |
United
| Professional | $16.23 | $33.08 | $78.77 |