| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.94 | $541.28 | $718.70 | |
Aetna
| Professional | $162.90 | $237.28 | $374.67 | |
Anthem BCBS
| Facility | $145.05 | $325.80 | $407.25 | |
Anthem BCBS
| Professional | $130.32 | $197.10 | $239.13 | |
Cigna
| Facility | $211.77 | $381.19 | $1,179.56 | |
Cigna
| Professional | $83.91 | $374.18 | $467.72 | |
Hometown Health
| Professional | $39.64 | $325.80 | $325.80 | |
Hometown Health
| Professional | $39.64 | $39.64 | $39.64 | |
United
| Facility | $488.70 | $488.70 | $488.70 | |
United
| Professional | $66.09 | $136.84 | $325.80 |