| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.53 | $79.00 | $108.40 | |
Anthem BCBS
| Professional | $109.97 | $109.97 | $130.27 | |
Cigna
| Facility | $110.00 | $110.00 | $112.20 | |
Cigna
| Professional | $13.15 | $93.50 | $234.38 | |
Hometown Health
| Professional | $24.86 | $24.86 | $24.86 | |
United
| Professional | $73.62 | $73.62 | $154.91 |