| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.61 | $113.61 | $131.09 | |
Aetna
| Professional | $113.61 | $131.09 | $141.97 | |
Anthem BCBS
| Facility | $332.68 | $332.68 | $332.68 | |
Anthem BCBS
| Professional | $185.44 | $185.44 | $405.96 | |
Cigna
| Facility | $227.96 | $227.96 | $244.91 | |
Cigna
| Professional | $166.41 | $215.74 | $234.80 | |
Hometown Health
| Professional | $185.00 | $266.14 | $479.06 | |
United
| Professional | $118.93 | $151.90 | $253.16 |