| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.20 | $104.39 | $107.50 | |
Anthem BCBS
| Professional | $109.06 | $113.60 | $182.18 | |
Cigna
| Facility | $64.17 | $64.17 | $64.17 | |
Cigna
| Professional | $13.43 | $64.17 | $202.50 | |
Hometown Health
| Professional | $21.50 | $21.50 | $21.50 | |
United
| Professional | $58.32 | $72.31 | $136.28 |