| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.96 | $374.24 | $495.63 | |
Aetna
| Professional | $151.33 | $177.29 | $513.96 | |
Anthem BCBS
| Facility | $152.58 | $175.09 | $531.92 | |
Anthem BCBS
| Professional | $170.09 | $199.95 | $199.95 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
Hometown Health
| Professional | $169.96 | $169.96 | $199.95 | |
United
| Professional | $166.75 | $188.43 | $199.95 |