| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.17 | $193.27 | $260.13 | |
Anthem BCBS
| Professional | $263.89 | $314.10 | $384.31 | |
Cigna
| Facility | $209.52 | $209.52 | $290.14 | |
Cigna
| Professional | $31.65 | $209.52 | $517.50 | |
Hometown Health
| Professional | $43.06 | $43.06 | $43.06 | |
United
| Professional | $128.62 | $189.90 | $307.93 |