| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.31 | $79.64 | $111.30 | |
Anthem BCBS
| Professional | $112.91 | $112.91 | $139.97 | |
Cigna
| Facility | $129.12 | $129.12 | $131.69 | |
Cigna
| Professional | $109.75 | $129.12 | $202.50 | |
Hometown Health
| Professional | $24.34 | $24.34 | $24.34 | |
United
| Professional | $80.33 | $80.33 | $151.63 |