| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.91 | $140.91 | $162.59 | |
Aetna
| Professional | $102.67 | $140.91 | $185.87 | |
Anthem BCBS
| Facility | $412.64 | $412.64 | $412.64 | |
Anthem BCBS
| Professional | $181.23 | $186.65 | $412.64 | |
Cigna
| Facility | $216.42 | $216.42 | $303.77 | |
Cigna
| Professional | $157.99 | $216.42 | $272.72 | |
Hometown Health
| Professional | $229.47 | $330.11 | $536.42 | |
United
| Facility | $116.58 | $153.02 | $180.13 | |
United
| Professional | $120.89 | $154.40 | $257.33 |