| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.92 | $191.92 | $191.92 | |
Aetna
| Professional | $191.91 | $191.92 | $199.67 | |
Anthem BCBS
| Facility | $175.61 | $201.52 | $612.22 | |
Anthem BCBS
| Professional | $161.54 | $161.54 | $202.02 | |
Cigna
| Facility | $188.55 | $188.55 | $188.55 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
Hometown Health
| Professional | $171.72 | $190.00 | $202.02 | |
United
| Professional | $168.35 | $190.24 | $202.02 |