| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.10 | $148.47 | $152.90 | |
Aetna
| Professional | $16.95 | $143.10 | $163.63 | |
Anthem BCBS
| Professional | $156.61 | $164.86 | $324.24 | |
Cigna
| Facility | $147.10 | $147.10 | $147.10 | |
Cigna
| Professional | $107.38 | $125.04 | $147.10 | |
Hometown Health
| Professional | $46.04 | $110.00 | $425.00 | |
United
| Professional | $11.78 | $19.64 | $81.62 |