| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.20 | $118.20 | $136.38 | |
Aetna
| Professional | $118.20 | $136.38 | $182.26 | |
Anthem BCBS
| Facility | $346.12 | $346.12 | $346.12 | |
Anthem BCBS
| Professional | $185.51 | $198.35 | $422.38 | |
Cigna
| Facility | $197.94 | $197.94 | $254.80 | |
Cigna
| Professional | $144.50 | $197.94 | $224.46 | |
Hometown Health
| Professional | $192.47 | $276.89 | $493.00 | |
United
| Professional | $123.74 | $158.03 | $231.26 |