| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.19 | $130.66 | $161.07 | |
Anthem BCBS
| Professional | $163.40 | $163.40 | $195.51 | |
Cigna
| Facility | $160.96 | $160.96 | $215.49 | |
Cigna
| Professional | $136.82 | $160.96 | $274.13 | |
Hometown Health
| Professional | $261.79 | $261.79 | $261.79 | |
United
| Professional | $87.29 | $125.95 | $231.88 |