| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.15 | $143.15 | $165.18 | |
Aetna
| Professional | $143.15 | $165.18 | $178.92 | |
Anthem BCBS
| Facility | $419.18 | $419.18 | $419.18 | |
Anthem BCBS
| Professional | $224.68 | $233.68 | $511.57 | |
Cigna
| Facility | $252.01 | $252.01 | $308.60 | |
Cigna
| Professional | $183.97 | $252.01 | $271.86 | |
Hometown Health
| Professional | $233.11 | $335.34 | $544.92 | |
United
| Professional | $149.88 | $191.41 | $280.10 |