| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.65 | $191.65 | $221.14 | |
Aetna
| Professional | $173.89 | $191.65 | $224.48 | |
Anthem BCBS
| Facility | $561.21 | $561.21 | $561.21 | |
Anthem BCBS
| Professional | $246.48 | $256.36 | $561.21 | |
Cigna
| Facility | $295.70 | $295.70 | $413.15 | |
Cigna
| Professional | $215.87 | $289.36 | $304.58 | |
Hometown Health
| Professional | $312.08 | $448.97 | $729.57 | |
United
| Facility | $158.55 | $208.12 | $244.99 | |
United
| Professional | $164.42 | $209.99 | $349.98 |