| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.16 | $80.16 | $92.50 | |
Aetna
| Professional | $80.16 | $102.72 | $277.08 | |
Anthem BCBS
| Facility | $136.96 | $136.96 | $136.96 | |
Anthem BCBS
| Professional | $280.55 | $283.76 | $441.24 | |
Cigna
| Facility | $301.51 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $301.51 | $321.43 | |
Hometown Health
| Professional | $95.87 | $216.40 | $401.95 | |
United
| Professional | $147.19 | $220.78 | $367.97 |