| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.89 | $419.04 | $646.28 | |
Aetna
| Professional | $272.13 | $406.89 | $419.04 | |
Anthem BCBS
| Professional | $412.20 | $425.11 | $619.91 | |
Cigna
| Facility | $316.74 | $316.74 | $316.74 | |
Cigna
| Professional | $52.19 | $316.74 | $791.25 | |
Hometown Health
| Professional | $64.62 | $64.62 | $64.62 | |
United
| Professional | $217.20 | $265.26 | $442.10 |