| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.04 | $65.04 | $75.05 | |
Aetna
| Professional | $65.04 | $75.05 | $100.31 | |
Anthem BCBS
| Facility | $190.45 | $190.45 | $190.45 | |
Anthem BCBS
| Professional | $102.10 | $105.27 | $232.46 | |
Cigna
| Facility | $112.22 | $112.22 | $140.21 | |
Cigna
| Professional | $81.92 | $81.92 | $195.74 | |
Hometown Health
| Professional | $105.92 | $158.36 | $274.25 | |
United
| Professional | $68.09 | $86.98 | $127.26 |