| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.04 | $327.08 | $438.43 | |
Aetna
| Professional | $130.57 | $155.02 | $198.74 | |
Anthem BCBS
| Facility | $88.48 | $198.74 | $248.43 | |
Anthem BCBS
| Professional | $31.98 | $120.23 | $152.63 | |
Cigna
| Facility | $75.20 | $202.64 | $719.53 | |
Cigna
| Professional | $59.04 | $207.38 | $259.22 | |
Hometown Health
| Professional | $166.03 | $198.74 | $198.74 | |
Hometown Health
| Professional | $166.03 | $166.03 | $166.03 | |
United
| Professional | $69.73 | $83.47 | $198.74 |