| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.83 | $212.83 | $245.58 | |
Aetna
| Professional | $212.83 | $243.10 | $249.81 | |
Anthem BCBS
| Facility | $623.24 | $623.24 | $623.24 | |
Anthem BCBS
| Professional | $314.32 | $326.91 | $715.67 | |
Cigna
| Facility | $380.61 | $380.61 | $458.81 | |
Cigna
| Professional | $277.85 | $277.85 | $414.13 | |
Hometown Health
| Professional | $346.58 | $518.21 | $897.47 | |
United
| Professional | $209.67 | $267.77 | $416.43 |