| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.84 | $65.84 | $75.97 | |
Aetna
| Professional | $63.96 | $65.84 | $79.88 | |
Anthem BCBS
| Facility | $192.80 | $192.80 | $192.80 | |
Anthem BCBS
| Professional | $112.91 | $119.57 | $257.07 | |
Cigna
| Facility | $138.33 | $138.33 | $203.46 | |
Cigna
| Professional | $100.98 | $100.98 | $214.66 | |
Hometown Health
| Professional | $107.21 | $160.31 | $277.63 | |
United
| Professional | $75.31 | $96.19 | $137.99 |