| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $114.82 | |
Aetna
| Professional | $131.83 | $169.82 | $295.12 | |
Anthem BCBS
| Facility | $346.74 | $346.74 | $363.08 | |
Anthem BCBS
| Professional | $186.21 | $186.21 | $245.47 | |
Cigna
| Facility | $162.18 | $194.98 | $269.15 | |
Cigna
| Professional | $141.25 | $141.25 | $218.78 | |
Hometown Health
| Professional | $190.55 | $346.74 | $602.56 | |
Select Health
| Professional | $309.03 | $346.74 | $354.81 | |
United
| Facility | $117.49 | $151.36 | $177.83 | |
United
| Professional | $120.23 | $194.98 | $316.23 |