| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.86 | $314.86 | $314.86 | |
Aetna
| Professional | $264.95 | $308.82 | $893.95 | |
Anthem BCBS
| Professional | $285.14 | $404.40 | $610.82 | |
Cigna
| Professional | $276.82 | $389.16 | $631.25 | |
Hometown Health
| Professional | $5.00 | $336.85 | $494.52 | |
Hometown Health
| Professional | $5.00 | $292.91 | $439.37 | |
United
| Professional | $288.33 | $375.05 | $612.66 |