| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $364.70 | $364.70 | $364.70 | |
Aetna
| Professional | $259.16 | $335.22 | $446.98 | |
Anthem BCBS
| Professional | $267.50 | $338.33 | $565.71 | |
Cigna
| Professional | $265.11 | $342.11 | $566.17 | |
Hometown Health
| Professional | $2.15 | $336.96 | $505.44 | |
Hometown Health
| Professional | $2.15 | $336.96 | $505.44 | |
United
| Professional | $260.70 | $326.33 | $555.04 |