| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.70 | $261.95 | $265.56 | |
Aetna
| Professional | $145.19 | $199.80 | $261.95 | |
Anthem BCBS
| Professional | $375.00 | $375.00 | $375.00 | |
Cigna
| Professional | $160.94 | $160.94 | $239.60 | |
Hometown Health
| Professional | $268.76 | $424.64 | $470.33 | |
United
| Professional | $104.78 | $144.59 | $240.98 |