| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.16 | $86.42 | $119.51 | |
Anthem BCBS
| Professional | $121.24 | $152.99 | $183.82 | |
Cigna
| Facility | $112.00 | $112.73 | $112.73 | |
Cigna
| Professional | $15.59 | $112.73 | $221.25 | |
Hometown Health
| Professional | $25.18 | $25.18 | $25.18 | |
United
| Professional | $73.56 | $84.23 | $140.38 |