| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.86 | $233.86 | $269.83 | |
Aetna
| Professional | $233.86 | $269.83 | $683.27 | |
Anthem BCBS
| Facility | $395.76 | $395.76 | $395.76 | |
Anthem BCBS
| Professional | $800.91 | $800.91 | $815.62 | |
Cigna
| Facility | $854.15 | $854.15 | $854.15 | |
Cigna
| Professional | $623.53 | $854.15 | $1,043.89 | |
Hometown Health
| Professional | $277.02 | $569.89 | $1,182.99 | |
United
| Professional | $153.69 | $630.26 | $1,050.44 |