| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.83 | $228.77 | $1,274.00 | |
Aetna
| Professional | $188.82 | $212.77 | $278.67 | |
Anthem BCBS
| Professional | $179.96 | $207.17 | $311.45 | |
Cigna
| Professional | $184.32 | $267.92 | $388.76 | |
Hometown Health
| Professional | $183.63 | $237.07 | $320.69 | |
Hometown Health
| Professional | $174.89 | $262.33 | $325.02 | |
United
| Professional | $192.56 | $257.50 | $384.59 |