| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.04 | $537.89 | $714.21 | |
Aetna
| Professional | $161.87 | $235.80 | $372.31 | |
Anthem BCBS
| Facility | $144.13 | $323.75 | $404.69 | |
Anthem BCBS
| Professional | $129.50 | $167.70 | $237.63 | |
Cigna
| Facility | $210.44 | $378.79 | $1,172.15 | |
Cigna
| Professional | $92.37 | $372.11 | $465.14 | |
Hometown Health
| Professional | $43.60 | $323.75 | $323.75 | |
Hometown Health
| Professional | $43.60 | $43.60 | $43.60 | |
United
| Professional | $72.59 | $135.97 | $323.75 |