| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $301.68 | $316.29 | $420.97 | |
Anthem BCBS
| Professional | $427.07 | $427.07 | $510.56 | |
Cigna
| Facility | $459.79 | $459.79 | $459.79 | |
Cigna
| Professional | $50.73 | $459.79 | $720.00 | |
Hometown Health
| Professional | $96.70 | $96.70 | $96.70 | |
United
| Professional | $294.06 | $294.06 | $602.13 |