| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $405.94 | $405.94 | $405.94 | |
Aetna
| Professional | $405.94 | $441.26 | $1,337.58 | |
Anthem BCBS
| Facility | $463.60 | $463.60 | $463.60 | |
Anthem BCBS
| Professional | $203.55 | $203.55 | $226.16 | |
Cigna
| Professional | $208.25 | $208.25 | $231.33 | |
Hometown Health
| Professional | $463.60 | $463.60 | $463.60 | |
United
| Professional | $181.09 | $373.83 | $707.86 |