| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.62 | $199.39 | $1,274.00 | |
Aetna
| Professional | $115.34 | $178.84 | $256.68 | |
Anthem BCBS
| Professional | $177.39 | $485.61 | $842.80 | |
Cigna
| Professional | $180.71 | $257.04 | $371.16 | |
Hometown Health
| Professional | $190.00 | $306.48 | $493.00 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
United
| Professional | $119.51 | $200.65 | $424.07 |