| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.60 | $443.60 | $443.60 | |
Aetna
| Professional | $203.59 | $270.14 | $452.65 | |
Anthem BCBS
| Professional | $20.00 | $275.91 | $410.71 | |
Cigna
| Professional | $359.63 | $359.63 | $809.05 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
United
| Professional | $174.16 | $283.23 | $505.80 |