| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.67 | $301.97 | $310.98 | |
Aetna
| Professional | $190.66 | $190.67 | $310.98 | |
Anthem BCBS
| Professional | $287.25 | $303.10 | $315.49 | |
Cigna
| Professional | $40.57 | $40.57 | $745.31 | |
Hometown Health
| Professional | $49.28 | $49.28 | $49.28 | |
United
| Professional | $23.53 | $27.73 | $172.53 |