| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.91 | $63.91 | $73.75 | |
Aetna
| Professional | $50.06 | $63.91 | $90.65 | |
Anthem BCBS
| Facility | $187.16 | $187.16 | $187.16 | |
Anthem BCBS
| Professional | $92.36 | $94.06 | $201.25 | |
Cigna
| Facility | $117.36 | $117.36 | $126.78 | |
Cigna
| Professional | $85.67 | $117.36 | $126.78 | |
Hometown Health
| Professional | $104.07 | $155.62 | $269.51 | |
United
| Professional | $58.96 | $75.31 | $125.04 |