| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.73 | $156.88 | $251.92 | |
Anthem BCBS
| Professional | $66.48 | $78.70 | $241.40 | |
Cigna
| Facility | $109.62 | $116.55 | $215.84 | |
Cigna
| Professional | $63.79 | $101.96 | $257.36 | |
Hometown Health
| Professional | $54.56 | $169.06 | $255.09 | |
United
| Facility | $223.74 | $223.74 | $223.74 | |
United
| Professional | $104.83 | $118.04 | $286.39 |