| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.49 | $121.02 | $124.63 | |
Anthem BCBS
| Professional | $112.32 | $126.43 | $159.02 | |
Cigna
| Facility | $130.68 | $130.68 | $171.51 | |
Cigna
| Professional | $111.08 | $130.68 | $241.50 | |
Hometown Health
| Professional | $175.43 | $175.43 | $175.43 | |
United
| Professional | $71.54 | $96.63 | $161.05 |