| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.16 | $115.16 | $132.88 | |
Aetna
| Professional | $115.16 | $132.88 | $143.93 | |
Anthem BCBS
| Facility | $337.23 | $337.23 | $337.23 | |
Anthem BCBS
| Professional | $180.78 | $186.58 | $411.64 | |
Cigna
| Facility | $192.91 | $192.91 | $248.25 | |
Cigna
| Professional | $140.82 | $192.91 | $216.69 | |
Hometown Health
| Professional | $187.52 | $269.77 | $485.61 | |
United
| Professional | $120.60 | $154.02 | $225.31 |