| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $144.54 | $144.54 | |
Aetna
| Professional | $165.96 | $213.80 | $363.08 | |
Anthem BCBS
| Facility | $426.58 | $426.58 | $446.68 | |
Anthem BCBS
| Professional | $234.42 | $234.42 | $302.00 | |
Cigna
| Facility | $204.17 | $251.19 | $331.13 | |
Cigna
| Professional | $181.97 | $181.97 | $251.19 | |
Hometown Health
| Professional | $239.88 | $426.58 | $741.31 | |
Select Health
| Professional | $380.19 | $426.58 | $446.68 | |
United
| Facility | $144.54 | $190.55 | $223.87 | |
United
| Professional | $151.36 | $275.42 | $389.05 |