| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.40 | $213.70 | $342.80 | |
Aetna
| Professional | $148.40 | $148.40 | $151.97 | |
Anthem BCBS
| Facility | $108.54 | $124.55 | $378.40 | |
Anthem BCBS
| Professional | $149.00 | $151.97 | $151.97 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 | |
Hometown Health
| Professional | $142.34 | $142.34 | $142.34 |