| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.34 | $98.16 | $261.51 | |
Aetna
| Professional | $66.78 | $98.15 | $117.63 | |
Anthem BCBS
| Facility | $89.82 | $103.07 | $313.13 | |
Anthem BCBS
| Professional | $87.89 | $87.89 | $103.33 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
Hometown Health
| Professional | $87.83 | $98.16 | $190.00 | |
United
| Professional | $86.23 | $103.33 | $103.33 |