| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.71 | $63.57 | $103.24 | |
Anthem BCBS
| Professional | $104.73 | $131.88 | $164.59 | |
Cigna
| Facility | $115.90 | $115.90 | $144.38 | |
Cigna
| Professional | $98.52 | $115.90 | $192.00 | |
Hometown Health
| Professional | $161.01 | $161.01 | $161.01 | |
United
| Professional | $61.72 | $83.39 | $137.16 |