| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.52 | $114.52 | $132.13 | |
Aetna
| Professional | $114.52 | $132.13 | $137.26 | |
Anthem BCBS
| Facility | $335.36 | $335.36 | $335.36 | |
Anthem BCBS
| Professional | $183.63 | $183.63 | $549.91 | |
Cigna
| Facility | $192.25 | $192.25 | $246.88 | |
Cigna
| Professional | $140.34 | $192.25 | $217.50 | |
Hometown Health
| Professional | $186.49 | $278.83 | $482.92 | |
United
| Professional | $120.18 | $153.49 | $252.02 |