| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.20 | $256.20 | $295.62 | |
Aetna
| Professional | $256.20 | $310.73 | $615.59 | |
Anthem BCBS
| Facility | $584.98 | $584.98 | $584.98 | |
Anthem BCBS
| Professional | $663.87 | $685.32 | $875.56 | |
Cigna
| Facility | $636.97 | $636.97 | $712.60 | |
Cigna
| Professional | $464.99 | $636.97 | $748.13 | |
Hometown Health
| Professional | $409.49 | $584.98 | $924.27 | |
United
| Professional | $321.20 | $481.81 | $803.01 |