| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.20 | $200.20 | $231.00 | |
Aetna
| Professional | $200.20 | $231.00 | $515.25 | |
Anthem BCBS
| Facility | $342.04 | $342.04 | $342.04 | |
Anthem BCBS
| Professional | $702.98 | $708.65 | $1,101.94 | |
Cigna
| Facility | $758.68 | $758.68 | $758.68 | |
Cigna
| Professional | $553.84 | $758.68 | $808.79 | |
Hometown Health
| Professional | $239.43 | $493.00 | $1,003.79 | |
United
| Professional | $432.51 | $551.38 | $918.97 |