| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $294.44 | $294.44 | $333.19 | |
Aetna
| Professional | $220.00 | $294.44 | $914.40 | |
Anthem BCBS
| Facility | $264.58 | $303.63 | $922.45 | |
Anthem BCBS
| Professional | $283.72 | $333.19 | $346.40 | |
Cigna
| Facility | $323.87 | $323.87 | $323.87 | |
Cigna
| Professional | $323.87 | $323.87 | $323.87 | |
Hometown Health
| Professional | $190.00 | $294.44 | $346.40 | |
United
| Professional | $289.17 | $326.76 | $346.40 |