| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.79 | $291.79 | $291.79 | |
Aetna
| Professional | $291.79 | $317.18 | $961.47 | |
Anthem BCBS
| Facility | $333.24 | $333.24 | $333.24 | |
Anthem BCBS
| Professional | $109.73 | $146.31 | $146.31 | |
Cigna
| Professional | $153.00 | $153.00 | $211.29 | |
Hometown Health
| Professional | $333.24 | $333.24 | $333.24 | |
United
| Professional | $180.10 | $268.70 | $508.82 |