| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.28 | $139.28 | $160.71 | |
Aetna
| Professional | $139.28 | $160.71 | $214.77 | |
Anthem BCBS
| Facility | $407.85 | $407.85 | $407.85 | |
Anthem BCBS
| Professional | $218.60 | $224.90 | $497.72 | |
Cigna
| Facility | $233.26 | $233.26 | $300.26 | |
Cigna
| Professional | $170.28 | $170.28 | $484.50 | |
Hometown Health
| Professional | $226.81 | $326.27 | $530.21 | |
United
| Professional | $169.10 | $267.18 | $367.07 |