| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.10 | $254.10 | $293.20 | |
Aetna
| Professional | $228.40 | $254.10 | $329.51 | |
Anthem BCBS
| Facility | $744.09 | $744.09 | $744.09 | |
Anthem BCBS
| Professional | $326.80 | $339.37 | $744.09 | |
Cigna
| Facility | $419.04 | $419.04 | $547.78 | |
Cigna
| Professional | $305.89 | $419.04 | $491.77 | |
Hometown Health
| Professional | $413.78 | $595.27 | $967.32 | |
United
| Professional | $218.00 | $278.41 | $464.02 |