| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.84 | $103.86 | $127.58 | |
Anthem BCBS
| Professional | $129.43 | $148.43 | $268.89 | |
Cigna
| Facility | $123.59 | $123.59 | $123.59 | |
Cigna
| Professional | $105.05 | $123.59 | $222.38 | |
Hometown Health
| Professional | $202.40 | $202.40 | $202.40 | |
United
| Professional | $65.59 | $105.88 | $197.72 |