| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.83 | $225.83 | $225.83 | |
Aetna
| Professional | $225.83 | $245.48 | $744.11 | |
Anthem BCBS
| Facility | $257.89 | $257.89 | $257.89 | |
Anthem BCBS
| Professional | $84.91 | $113.22 | $113.22 | |
Cigna
| Professional | $119.00 | $119.00 | $195.35 | |
Hometown Health
| Professional | $257.89 | $257.89 | $257.89 | |
United
| Professional | $128.66 | $207.97 | $393.79 |